MOTT HAVEN MEDICAL OF NEW YORK LLC is a vascular surgery surgery in Bronx, 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. MOTT HAVEN MEDICAL OF NEW YORK LLC NPI is 1457873234. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
384 E 149TH ST STE 201
BRONX, NY
ZIP 10455-908
Phone: (718) 301-1100
Fax: (224) 246-8042
The provider's authorized official is Flora Katsnelson .
The authorized official title is Owner and has the following contact phone number (847) 257-1244.
The CLIA number assigned to this NPI record is 33D2157722 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/12/2017 and was last updated on 7/12/2017.