Whalio Doctors

NPI 1003236589

Jouvence LLC

Organisation Vascular Surgery Physician Locust Valley, NY

Practice location

Address
277 Piping Rock Rd, Locust Valley, NY 11560-2504
Phone
(781) 254-3091

Authorised official

Name
Lodze Steckman
Title
Owner
Phone
(781) 254-3091

Registered specialties

Vascular Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 256450 (NY)

Registry record

NPI
1003236589
Entity type
Organization
NPI issued
23 Apr 2014
Record last updated
23 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.