MEDICARE: YOUR HEART DOCTORS NY

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	255699-1	NY

General Provider Information

NPI Number	:	1548616303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR HEART DOCTORS NY

Provider Business Mailing Address
First Line	:	50 CHRISTOPHER COLUMBUS DR
Second Line	:	#2105
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7005
Country	:	US
Telephone Number	:	201-222-7512
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 CHRISTOPHER COLUMBUS DR
Second Line	:	#2105
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7005
Country	:	US
Telephone Number	:	201-222-7512
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RANY SALEH
Credential	:	DO
Telephone Number	:	201-222-7512

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	05/11/2016

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