MARBLE HILL MEDICAL OF NEW YORK LLC NPI 1962868687

NPI Information

MARBLE HILL 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. MARBLE HILL MEDICAL OF NEW YORK LLC NPI is 1962868687. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5221 BROADWAY
BRONX, NY
ZIP 10463-636
Phone: (718) 301-1100
Fax: (224) 246-8042

The provider's authorized official is Flora Katsnelson .
The authorized official title is Director and has the following contact phone number (847) 257-1244.

The CLIA number assigned to this NPI record is 33D2157725 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 11/14/2016.

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:

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