Provider Demographics
NPI:1427005214
Name:NY VASCULAR SURGICAL ASSOCIATE
Entity Type:Organization
Organization Name:NY VASCULAR SURGICAL ASSOCIATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-723-7737
Mailing Address - Street 1:14 HARWOOD CT
Mailing Address - Street 2:SUITE 326
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4121
Mailing Address - Country:US
Mailing Address - Phone:914-723-7737
Mailing Address - Fax:914-723-1589
Practice Address - Street 1:14 HARWOOD CT
Practice Address - Street 2:SUITE 326
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4121
Practice Address - Country:US
Practice Address - Phone:914-723-7737
Practice Address - Fax:914-723-1589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty