Provider Demographics
NPI:1700778479
Name:VEXARA HEALTH, PC
Entity type:Organization
Organization Name:VEXARA HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOULARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-866-4435
Mailing Address - Street 1:57 LAIGHT ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2055
Mailing Address - Country:US
Mailing Address - Phone:718-866-4435
Mailing Address - Fax:
Practice Address - Street 1:360 COURT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-4353
Practice Address - Country:US
Practice Address - Phone:718-866-4435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty