Healthcare Provider Details

I. General information

NPI: 1538961248
Provider Name (Legal Business Name): WEST ISLAND CARDIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 CENTRAL AVE
BETHPAGE NY
11714-3910
US

IV. Provider business mailing address

271 CENTRAL AVE
BETHPAGE NY
11714-3910
US

V. Phone/Fax

Practice location:
  • Phone: 516-986-9486
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN RODRIGUEZ
Title or Position: MANAGER
Credential:
Phone: 516-986-9486