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NPI Code Detail

MEDICARE: CARDIOVASCULAR SPECIALISTS OF CENTRAL NEW YORK PLLC

MEDICARE: CARDIOVASCULAR SPECIALISTS OF CENTRAL 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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1700562568
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR SPECIALISTS OF CENTRAL NEW YORK PLLC
Provider Business Mailing Address
First Line : 4820 W TAFT RD STE 209
Second Line :
City : LIVERPOOL
State : NY
Zip : 13088-2806
Country : US
Telephone Number : 315-448-6215
Fax Number :
Provider Business Practice Location Address
First Line : 4820 W TAFT RD STE 209
Second Line :
City : LIVERPOOL
State : NY
Zip : 13088-2806
Country : US
Telephone Number : 315-448-6215
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : AYMAN ISKANDER
Credential : MD
Telephone Number : 315-448-6215
Provider Enumeration Date : 06/26/2023
Last Update Date : 06/26/2023

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