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General NPI Number Information
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NPI Number | 1255255352
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Entity Type | Organization
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Legal Business Name | PRIMARY VASCULAR CARE MICHIGAN PLLC
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 330 ELM ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3223
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Country | US
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Telephone | 845-572-7760
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Fax |
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Provider Business Mailing Address
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Address Line | 9011 LINWOOD ST # 1029
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City | DETROIT
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State | MI
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Zip | 48206-1956
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIEZER HALPERT
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Credential |
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Telephone | 845-572-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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