Organization
METROVASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE VANJONACK MSS,RDCS,RVS (COO)
(215) 939-0668
Entity
Organization
Contact information
Practice address
111 WADSWORTH AVE, NEW YORK, NY 10033-6102
(973) 795-4309
(646) 530-6930
Mailing address
111 WADSWORTH AVE, NEW YORK, NY 10033-6102
(973) 795-4309
(646) 530-6930
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/25/2025
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