American Vascular Medical PLLC
in Bronx, NY. Organization (NPI-2).
NPI number1053110387
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1053110387
- Entity type
- Organization (NPI-2)
- Legal business name
- American Vascular Medical PLLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2025
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Practice location
869 E Tremont AveBronx, NY 10460-4207
Phone 929-346-7554
Mailing address
869 E Tremont AveBronx, NY 10460-4207
Phone 929-346-7554
Authorized official
Natalie Luchko
Office Manager
9293467554
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