Organization
VANGUARD MEDICAL SERVICES PLLC
Active
Other names
Vanguard Medical Services PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA YAKUTILOVA (MANAGER)
(212) 889-5544
Entity
Organization
Contact information
Practice address
233 BROADWAY RM 2750, NEW YORK, NY 10279-2704
(212) 889-5544
Mailing address
36 E 31ST ST RM 701, NEW YORK, NY 10016-6821
(212) 889-5544
(212) 481-1089
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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