Organization
K&H MEDICAL PHIL PLLC
Active
Other names
Mobile Vascular Physicians, Metro Vascular Care
Organization subpart
No
Provider details
NPI number
Authorized official
ELIEZER HALPERT MD (DELEGATED OFFICIAL/MEDICAL DIRECTOR)
(212) 734-6621
Entity
Organization
Contact information
Practice address
235 NORTH BROAD STREET, SUITE 100, PHILADELPHIA, PA 19107-1531
(212) 734-6621
(215) 568-6833
Mailing address
120 HICKSVILLE ROAD, BETHPAGE, NY 11714-3443
(516) 717-1839
(516) 614-1028
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/11/2023
Last updated
12/23/2024
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