Organization
NEW YORK VEIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M GLASS M.D. (OWNER)
(718) 996-4400
Entity
Organization
Contact information
Practice address
2989 OCEAN PKWY, BROOKLYN, NY 11235-8386
(718) 996-4400
(718) 449-3807
Mailing address
2989 OCEAN PARKWAY, BROOKLYN, NY 11235
(718) 996-4400
(718) 449-3807
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
139939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00928809
—
NY
01
—
1760583900
NPI
NY
Enumeration date
12/11/2009
Last updated
12/11/2009
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