Provider Demographics
NPI:1942945498
Name:EAST VEIN AND LYMPHATIC CENTERS INC
Entity Type:Organization
Organization Name:EAST VEIN AND LYMPHATIC CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALESSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGGIONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-421-6785
Mailing Address - Street 1:886 2ND AVENUE
Mailing Address - Street 2:PMB 113
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2103
Mailing Address - Country:US
Mailing Address - Phone:212-457-1491
Mailing Address - Fax:469-210-8571
Practice Address - Street 1:245 5TH AVE FL 3
Practice Address - Street 2:C O LINA NOMAD
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8278
Practice Address - Country:US
Practice Address - Phone:212-457-1491
Practice Address - Fax:469-210-8571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty