Healthcare Provider Details

I. General information

NPI: 1144798596
Provider Name (Legal Business Name): HEART SMART INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2018
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 WALT WHITMAN RD
HUNTINGTON STATION NY
11746-3640
US

IV. Provider business mailing address

33 WALT WHITMAN RD
HUNTINGTON STATION NY
11746-3640
US

V. Phone/Fax

Practice location:
  • Phone: 631-676-3749
  • Fax:
Mailing address:
  • Phone: 631-676-3749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. SRINIVAS SANJAY VOLETI
Title or Position: CEO
Credential:
Phone: 408-627-9412