Provider Demographics
NPI:1306564133
Name:PEAR VASCULAR CARE PC
Entity type:Organization
Organization Name:PEAR VASCULAR CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKEN
Authorized Official - Middle Name:NICHAN
Authorized Official - Last Name:PAMOUKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-433-4421
Mailing Address - Street 1:653 VINCENT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1720
Mailing Address - Country:US
Mailing Address - Phone:212-433-4421
Mailing Address - Fax:718-744-2742
Practice Address - Street 1:2351 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3627
Practice Address - Country:US
Practice Address - Phone:212-433-4421
Practice Address - Fax:718-744-2742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty