Organization
EAST TREMONT VASCULAR HEALTH CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAYANK V PATEL (OWNER)
(718) 823-7135
Entity
Organization
Contact information
Practice address
3175 E TREMONT AVE, BRONX, NY 10461-5700
(718) 823-7135
(718) 823-7136
Mailing address
3175 E TREMONT AVE, BRONX, NY 10461-5700
(718) 823-7135
(718) 823-7136
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
202857
NY
2086S0129X
Vascular Surgery Physician
209680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02594521
—
NY
Enumeration date
07/13/2005
Last updated
02/19/2014
Update your record
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