| Organization Name: | VEINS LLC |
| NPI Number: | 1780089987 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD JAMES DITTMAR (OWNER) |
| Mailing Address: | 56 Craig Rd Islip Terrace |
| State: | NY US |
| Postal Code: | 11752 |
| Phone Number: | 6318829044 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XC2903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Vascular Specialist |
| Taxonomy Definition: | |