Organization
BM VASCULAR SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAN R BADHEY (SOLE PROPRIETER)
(516) 220-6995
Entity
Organization
Contact information
Practice address
7554 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2639
(516) 220-6995
Mailing address
170 STIRRUP LN, SYOSSET, NY 11791-4417
(516) 220-6995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
63766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00223574
—
NY
Enumeration date
11/21/2007
Last updated
04/15/2008
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