Organization
NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HARTMANN (PRACTICE ADMINISTRATOR)
(516) 328-9800
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, SUITE S50, NEW HYDE PARK, NY 11042-1011
(516) 328-9800
(516) 328-9801
Mailing address
2001 MARCUS AVE, SUITE S50, NEW HYDE PARK, NY 11042-1011
(516) 328-9800
(516) 328-9801
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
195038
NY
2086S0129X
Vascular Surgery Physician
Primary
207067
NY
Other
Enumeration date
09/22/2010
Last updated
09/24/2010
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