Organization
IMC VARICOSE VEINS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MCCUE (BILLING MANAGER)
(845) 294-0819
Entity
Organization
Contact information
Practice address
560 HUDSON ST STE 3-4, HACKENSACK, NJ 07601-6638
(845) 379-9000
(845) 933-2183
Mailing address
259 S MIDDLETOWN RD, NANUET, NY 10954-3327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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