National Provider Identifier Database

ELYSIUM AESTHETICS AND VEIN CARE INC
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

ELYSIUM AESTHETICS AND VEIN CARE, INC
400 STATE ROUTE 17
RIDGEWOOD, NJ07450
Phone: 518-852-8114
Fax: 866-339-2822
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for ELYSIUM AESTHETICS AND VEIN CARE, INC

NPI Number 1952764862
Legal business name
LBN
ELYSIUM AESTHETICS AND VEIN CARE, INC
Authorized official DAVID SINGH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/30/2016
Last updated 06/03/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA08769000
  • NJ Medicaid: 0242039

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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