BUSHWICK MEDICAL OF NEW YORK LLC NPI 1720565922

NPI Information

BUSHWICK MEDICAL OF NEW YORK LLC 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. BUSHWICK MEDICAL OF NEW YORK LLC NPI is 1720565922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

441 KNICKERBOCKER AVE STE B
BROOKLYN, NY
ZIP 11237-508
Phone: (347) 773-2684
Fax: (718) 261-3893

The provider's authorized official is Flora Katsnelson .
The authorized official title is Owner and has the following contact phone number (847) 772-0089.

The CLIA number assigned to this NPI record is 33D2161180 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2018 and was last updated on 7/20/2018.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.