Provider Demographics
NPI:1730408246
Name:GREAT NECK VASCULAR SURGERY PC
Entity type:Organization
Organization Name:GREAT NECK VASCULAR SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAPLITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-829-3020
Mailing Address - Street 1:277 NORTHERN BLVD
Mailing Address - Street 2:SUITE 318
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-829-3020
Mailing Address - Fax:516-829-3284
Practice Address - Street 1:277 NORTHERN BLVD
Practice Address - Street 2:SUITE 318
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-829-3020
Practice Address - Fax:516-829-3284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty