Provider Demographics
NPI:1124018478
Name:THE VASCULAR GROUP, PLLC
Entity Type:Organization
Organization Name:THE VASCULAR GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MD
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:CLEMENT
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:518-262-8720
Mailing Address - Street 1:391 MYRTLE AVE.
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3797
Mailing Address - Country:US
Mailing Address - Phone:518-262-5640
Mailing Address - Fax:518-262-5110
Practice Address - Street 1:391 MYRTLE AVE.
Practice Address - Street 2:SUITE 5
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:518-262-5640
Practice Address - Fax:518-262-5110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2085R0204X, 2086S0129X, 208G00000X
NY2085R0204X, 2086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02548465Medicaid
NYBA0085Medicare PIN