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Organization

PARK VASCULAR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL FUCHS MD, RVT (MEMBER, PHYSICIAN, VASCULAR TECH)
(718) 853-4200
Entity
Organization

Contact information

Practice address
990 E 23RD ST, BROOKLYN, NY 11210-3622
(718) 258-2437
(718) 228-4233
Mailing address
990 E 23RD ST, BROOKLYN, NY 11210-3622
(718) 258-2437
(718) 228-4233

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
126307
NY

Other

Enumeration date
12/30/2014
Last updated
12/30/2014
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