Provider Demographics
NPI:1578805917
Name:VASCULAR CORRECTIONS PC
Entity Type:Organization
Organization Name:VASCULAR CORRECTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:CASELNOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-327-4740
Mailing Address - Street 1:129 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2729
Mailing Address - Country:US
Mailing Address - Phone:631-598-3463
Mailing Address - Fax:516-598-4723
Practice Address - Street 1:129 BROADWAY
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2729
Practice Address - Country:US
Practice Address - Phone:631-598-3463
Practice Address - Fax:516-598-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty