Healthcare Provider Details

I. General information

NPI: 1699287201
Provider Name (Legal Business Name): HEART & RHYTHM CENTERS OF EXCELLENCE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2017
Last Update Date: 11/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1623 FLATBUSH AVE STE 110
BROOKLYN NY
11210-3259
US

IV. Provider business mailing address

1623 FLATBUSH AVE STE 110
BROOKLYN NY
11210-3259
US

V. Phone/Fax

Practice location:
  • Phone: 646-671-9252
  • 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: AZRIEL AVEZBADALOV
Title or Position: DIRECTOR
Credential:
Phone: 646-671-9252