MMC UNIVERSITY VASCULAR SURGEONS NPI 1659484368

NPI Information

NPI: 1659484368
Provider Name: MMC UNIVERSITY VASCULAR SURGEONS
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4802 10TH AVE
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8773
Get Directions

MMC UNIVERSITY VASCULAR SURGEONS is a vascular surgery surgery in Brooklyn, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MMC UNIVERSITY VASCULAR SURGEONS NPI is 1659484368. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4802 10TH AVE
BROOKLYN, NY
ZIP 11219-916
Phone: (718) 283-8773

The provider's authorized official is Martin Cammer .
The authorized official title is Director and has the following contact phone number (718) 283-8773.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W7Z251	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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