Healthcare Provider Details

I. General information

NPI: 1093980641
Provider Name (Legal Business Name): DOCTOR'S CARDIO-VASCULAR IMAGING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 KINGS HWY SUITE B1
BROOKLYN NY
11234-2644
US

IV. Provider business mailing address

3131 KINGS HWY SUITE B1
BROOKLYN NY
11234-2644
US

V. Phone/Fax

Practice location:
  • Phone: 718-998-2323
  • Fax: 718-998-7660
Mailing address:
  • Phone: 718-998-2323
  • Fax: 718-998-7660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number174876
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number174876
License Number StateNY

VIII. Authorized Official

Name: DR. MARCEL PINTEA
Title or Position: PRESIDENT
Credential: MD
Phone: 718-998-2323