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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 Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

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

NPI # 1952764862
LBN Legal business name ELYSIUM AESTHETICS AND VEIN CARE, INC
Authorized official DAVID SINGH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2016
Last updated 06/03/2016 - About 10 years ago
Identifiers
NJ License # 25MA08769000
NJ Medicaid 0242039
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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