| Organization Name: | VEIN INSTITUTE OF PITTSBURGH, LLC |
| NPI Number: | 1972754521 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRANCE RAYMOND KRYSINSKI (OWNER) |
| Mailing Address: | 16000 Perry Hwy Suite Two Warrendale |
| State: | PA US |
| Postal Code: | 150867541 |
| Phone Number: | 7249354200 |
| Fax Number: | 7249354226 |
| NPI Enumeration Date: | 10/01/2008 |
| NPI Last Update Date: | 12/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD-068030-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |