Organization
NEW YORK VASCULAR MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEV PUKIN MD (AUTHORIZED OFFICIAL)
(718) 737-7200
Entity
Organization
Contact information
Practice address
3049 OCEAN PKWY STE 303, BROOKLYN, NY 11235-8367
(718) 737-7200
(888) 960-2493
Mailing address
3049 OCEAN PKWY STE 303, BROOKLYN, NY 11235-8367
(718) 737-7200
(888) 960-2493
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
10/31/2020
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