# VASCULAR SURGICAL ASSOC

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

## Provider details

- **NPI number:** 1992882211
- **Authorized official:** DANIELLE BAJAKIAN (MD)
- **Authorized official phone:** (212) 876-7400

## Contact information

- **Practice address:** 1225 PARK AVE, SUITE 1D, NEW YORK, NY 10128
- **Practice address phone:** (212) 876-7400
- **Practice address fax:** (212) 831-8090
- **Mailing address:** 1225 PARK AVE, SUITE 1D, NEW YORK, NY 10128
- **Mailing address phone:** (212) 876-7400
- **Mailing address fax:** (212) 831-8090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 709998 | NY | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020