Organization
VENOLASE VASCULAR MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA KONLIAN M.D. (PRESIDENT)
(845) 358-8878
Entity
Organization
Contact information
Practice address
2 MEDICAL PARK DR, SUITE 4, WEST NYACK, NY 10994-1965
(845) 358-8878
Mailing address
2 MEDICAL PARK DR, SUITE 4, WEST NYACK, NY 10994-1965
(845) 358-8878
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1858321
NY
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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