Organization
VASCULAR SURGICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BAJAKIAN (MD)
(212) 876-7400
Entity
Organization
Contact information
Practice address
1225 PARK AVE, SUITE 1D, NEW YORK, NY 10128
(212) 876-7400
(212) 831-8090
Mailing address
1225 PARK AVE, SUITE 1D, NEW YORK, NY 10128
(212) 876-7400
(212) 831-8090
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
709998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491394
—
NY
Enumeration date
11/01/2006
Last updated
08/22/2020
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