Provider Demographics
NPI:1760004022
Name:VASCULAR CARE LLC
Entity Type:Organization
Organization Name:VASCULAR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VASCULAR SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED ALI
Authorized Official - Middle Name:RAZA
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-476-2547
Mailing Address - Street 1:22 JUNEAU BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2612
Mailing Address - Country:US
Mailing Address - Phone:516-476-2547
Mailing Address - Fax:
Practice Address - Street 1:1 HEALTHY WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1551
Practice Address - Country:US
Practice Address - Phone:516-476-2547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-09
Last Update Date:2020-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty