Organization
VEINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD JAMES DITTMAR III BA, RVT, RDCS (OWNER)
(631) 882-9044
Entity
Organization
Contact information
Practice address
56 CRAIG RD, ISLIP TERRACE, NY 11752
(631) 882-9044
Mailing address
56 CRAIG RD, ISLIP TERRACE, NY 11752
(631) 882-9044
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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