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General NPI Number Information
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NPI Number | 1740124411
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Entity Type | Organization
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Legal Business Name | BRONX ENDOVASCULAR CENTER LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1733 EASTCHESTER RD STE 2
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City | BRONX
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State | NY
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Zip | 10461-2347
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Country | US
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Telephone | 347-227-0790
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Fax | 347-227-0791
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Provider Business Mailing Address
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Address Line | 182 INDUSTRIAL RD
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City | GLEN ROCK
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State | PA
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Zip | 17327-8626
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Country | US
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Telephone | 717-759-5482
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Fax | 717-759-5435
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Authorized Official
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Title or Position | MANGER
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Name | DEBORAH HELMER
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Credential |
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Telephone | 347-227-0790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology 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 | 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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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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