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General NPI Number Information
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NPI Number | 1942945498
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Entity Type | Organization
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Legal Business Name | EAST VEIN AND LYMPHATIC CENTERS INC
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 245 5TH AVE FL 3 C O LINA NOMAD
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City | NEW YORK
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State | NY
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Zip | 10016-8278
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Country | US
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Telephone | 212-457-1491
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Fax | 469-210-8571
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Provider Business Mailing Address
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Address Line | 886 2ND AVENUE PMB 113
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City | NEW YORK
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State | NY
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Zip | 10017-2103
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Country | US
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Telephone | 212-457-1491
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Fax | 469-210-8571
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ALESSANDRA PUGGIONI
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Credential | MD
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Telephone | 917-421-6785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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