Provider Demographics
NPI:1548048291
Name:NEW YORK VASCULAR INTERVENTION PLLC
Entity type:Organization
Organization Name:NEW YORK VASCULAR INTERVENTION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAVESATEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-449-6316
Mailing Address - Street 1:992 N VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1002
Mailing Address - Country:US
Mailing Address - Phone:631-889-1264
Mailing Address - Fax:
Practice Address - Street 1:6175 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-5341
Practice Address - Country:US
Practice Address - Phone:516-804-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty