MEDICARE: CARDIOVASCULAR MEDICINE OF NEW YORK PLLC

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
1	207RC0000X	Cardiovascular Disease Physician
2	207RI0011X	Interventional Cardiology Physician

General Provider Information

NPI Number	:	1285450585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR MEDICINE OF NEW YORK PLLC

Provider Business Mailing Address
First Line	:	335 MEADOWVIEW AVE
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-1701
Country	:	US
Telephone Number	:	347-590-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 BROOK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-2508
Country	:	US
Telephone Number	:	347-590-6565
Fax Number	:	347-590-6564

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TAWSEEF AHMAD DAR
Credential	:	MD
Telephone Number	:	347-590-6565

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	02/05/2025

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