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NPI Code Detail

MEDICARE: CARDIOGRAPHIC ASSOCIATES OF HARLEM ROAD P.C.

MEDICARE: CARDIOGRAPHIC ASSOCIATES OF HARLEM ROAD 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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CC0869OTHERNYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1111311300OTHERDEPARTMENT OF LABOR
2000502751003OTHERNYBLUE CROSS

General Provider Information

NPI Number : 1700855459
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOGRAPHIC ASSOCIATES OF HARLEM ROAD P.C.
Provider Business Mailing Address
First Line : P.O. BOX 8000 DEPT 819
Second Line :
City : BUFFALO
State : NY
Zip : 14267-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2605 HARLEM RD
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-4018
Country : US
Telephone Number : 716-662-2161
Fax Number :
Authorized Official
Title or Position : C.P.A.
Name : JIM ATKINSON
Credential :
Telephone Number : 716-662-2161
Provider Enumeration Date : 03/15/2006
Last Update Date : 07/31/2008

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