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NPI Code Detail

MEDICARE: CARDIOVASCULAR ASSOCIATES OF NEW YORK, P.C.

MEDICARE: CARDIOVASCULAR ASSOCIATES OF NEW YORK, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124126917
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR ASSOCIATES OF NEW YORK, P.C.
Provider Business Mailing Address
First Line : PO BOX 610613
Second Line :
City : BAYSIDE
State : NY
Zip : 11361-0613
Country : US
Telephone Number : 718-717-0233
Fax Number : 718-717-0265
Provider Business Practice Location Address
First Line : 44-01 FRANCIS LEWIS BOULEVARD
Second Line :
City : BAYSIDE
State : NY
Zip : 11361-3002
Country : US
Telephone Number : 718-423-3355
Fax Number : 718-423-3721
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. DANIEL P. DOYLE
Credential :
Telephone Number : 718-717-0281
Provider Enumeration Date : 09/20/2006
Last Update Date : 01/26/2011

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Directions to “CARDIOVASCULAR ASSOCIATES OF NEW YORK, P.C. ” Practice Location

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