Healthcare Provider Details

I. General information

NPI: 1518939198
Provider Name (Legal Business Name): CARDIOLOGY CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 03/25/2009
Certification Date:
Deactivation Date: 01/30/2008
Reactivation Date: 08/14/2008

III. Provider practice location address

279 MAIN STREET
NEW PALTZ NY
12561
US

IV. Provider business mailing address

PO BOX 5801
NEW YORK NY
10087-5801
US

V. Phone/Fax

Practice location:
  • Phone: 845-255-3046
  • Fax: 914-593-7881
Mailing address:
  • Phone: 914-593-7880
  • Fax: 914-593-7881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD KAY
Title or Position: VICE-PRESIDENT
Credential: MD
Phone: 914-593-7800