Healthcare Provider Details

I. General information

NPI: 1821160623
Provider Name (Legal Business Name): CARDIO CALL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 05/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NORTHWOOD BLVD
CENTRAL ISLIP NY
11722-4667
US

IV. Provider business mailing address

100 NORTHWOOD BLVD
CENTRAL ISLIP NY
11722-4667
US

V. Phone/Fax

Practice location:
  • Phone: 631-342-8341
  • Fax: 631-342-8341
Mailing address:
  • Phone: 631-342-8341
  • Fax: 631-342-8341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH ANZALONE
Title or Position: PRESIDENT
Credential:
Phone: 631-342-8341