Healthcare Provider Details

I. General information

NPI: 1619805280
Provider Name (Legal Business Name): VASCULAR RADIOLOGY MEDICAL CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4770 WHITE PLAINS RD
BRONX NY
10470-1136
US

IV. Provider business mailing address

4770 WHITE PLAINS RD
BRONX NY
10470-1136
US

V. Phone/Fax

Practice location:
  • Phone: 888-885-8346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: EDWARD ESSES
Title or Position: OWNER
Credential:
Phone: 845-572-7760