Healthcare Provider Details

I. General information

NPI: 1003607987
Provider Name (Legal Business Name): CADENCE HEALTH CA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 LAFAYETTE ST FL 7
NEW YORK NY
10012-2701
US

IV. Provider business mailing address

295 LAFAYETTE ST FL 7
NEW YORK NY
10012-2701
US

V. Phone/Fax

Practice location:
  • Phone: 917-779-7727
  • Fax:
Mailing address:
  • Phone: 917-779-7727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTINA GARDELLA
Title or Position: COMPLIANCE
Credential:
Phone: 917-727-7729