Individual
VICKEN N PAMOUKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 E 88TH ST FL 1, NEW YORK, NY 10128-2255
(212) 433-4421
(718) 744-2742
Mailing address
653 VINCENT AVE, BRONX, NY 10465-1720
(212) 433-4421
(718) 744-2742
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
216108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02443281
—
NY
01
—
216108
LICENSE
NY
Enumeration date
04/12/2006
Last updated
03/07/2023
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