Organization
LASER AND VARICOSE VEIN TREATMENT CENTER OF STATEN ISLAND LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CHEMO (CREDENTIALING ADMINISTRATOR)
(732) 387-2747
Entity
Organization
Contact information
Practice address
500 SEAVIEW AVE, STE 240, STATEN ISLAND, NY 10305-3403
(718) 667-1777
(718) 667-4380
Mailing address
500 SEAVIEW AVE, STE 240, STATEN ISLAND, NY 10305-3403
(718) 667-1777
(718) 667-4380
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
119772
NY
Other
Enumeration date
10/12/2006
Last updated
10/03/2023
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