Organization
61-3 MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL TOUSSAINT (ADMINISTRATIVE ASSISTANT)
(212) 362-3470
Entity
Organization
Contact information
Practice address
1041 3RD AVE, 2ND FL, NEW YORK, NY 10065-8114
(212) 362-3470
Mailing address
1041 3RD AVE, 2ND FL, NEW YORK, NY 10065-8114
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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