# VEIN SPECIALIST OF NEW YORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902930142
- **Authorized official:** AMIYA PRASAD MD (PROVIDER)
- **Authorized official phone:** (800) 353-5420

## Contact information

- **Practice address:** 50 E 78TH ST, SUITE 1B, NEW YORK, NY 10021-1837
- **Practice address phone:** (800) 353-5420
- **Practice address fax:** (866) 897-5366
- **Mailing address:** PO BOX 172, LOCUST VALLEY, NY 11560-0172
- **Mailing address phone:** (800) 353-5420
- **Mailing address fax:** (866) 897-5366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020