Healthcare Provider Details

I. General information

NPI: 1760071898
Provider Name (Legal Business Name): NYVC & CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BENNETT AVE MEZZ FL
NEW YORK NY
10033-2148
US

IV. Provider business mailing address

2 BENNETT AVE MEZZANINE FL
NEW YORK NY
10033-2148
US

V. Phone/Fax

Practice location:
  • Phone: 917-388-3204
  • Fax: 917-732-7744
Mailing address:
  • Phone: 917-388-3204
  • Fax: 917-732-7744

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 Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: NELSON F CHAVARRIA
Title or Position: OWNER
Credential:
Phone: 917-388-3204