Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vr Physician for Vein Restoration

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1063373009

Vr Physician for Vein Restoration is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Bronx, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1749 Grand Concourse
Bronx, NY 10453-8241
Phone: (855) 830-8346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1063373009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorena Thomas — Cred Manager · (815) 254-1761
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address7474 Greenway Center Dr Ste 1000, Greenbelt, MD 20770-3500

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