LASER AND VARICOSE VEIN TREATMENT CENTER OF STATEN ISLAND LLP is a vascular surgery surgery in Staten Island, 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. LASER AND VARICOSE VEIN TREATMENT CENTER OF STATEN ISLAND LLP NPI is 1558450312. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
500 SEAVIEW AVE
STE 240
STATEN ISLAND, NY
ZIP 10305-403
Phone: (718) 667-1777
Fax: (718) 667-4380
The provider's authorized official is Kimberly Chemo .
The authorized official title is Credentialing Administrator and has the following contact phone number (732) 387-2747.
The CLIA number assigned to this NPI record is 33D1088850 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/12/2006 and was last updated on 10/3/2023.