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General NPI Number Information
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NPI Number | 1376269811
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Entity Type | Organization
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Legal Business Name | LASER & SURGICAL VEIN CARE, P.C.
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 452 FORT WASHINGTON AVE FL 1
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City | NEW YORK
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State | NY
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Zip | 10033-4600
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Country | US
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Telephone | 866-996-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 70-31 A 108 STREET SUITE 4
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City | FOREST HILLS
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State | NY
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Zip | 11375
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Country | US
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Telephone | 718-520-8700
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Fax | 718-520-8050
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. YAKOV LEVY
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Credential | MD
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Telephone | 718-520-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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