Healthcare Provider Details

I. General information

NPI: 1386236750
Provider Name (Legal Business Name): PARKVIEW CARDIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 57TH ST STE 1010
NEW YORK NY
10019-3215
US

IV. Provider business mailing address

200 W 57TH ST STE 1010
NEW YORK NY
10019-3215
US

V. Phone/Fax

Practice location:
  • Phone: 212-970-0911
  • Fax:
Mailing address:
  • Phone: 212-970-0911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KEDAR DEEPAK SANKHOLKAR
Title or Position: PHYSICIAN/MEDICAL DIRECTOR
Credential: M.D.
Phone: 212-970-0911