Healthcare Provider Details

I. General information

NPI: 1720252422
Provider Name (Legal Business Name): MANHATTAN CARDIAC ARRHYTHMIA CONSULTANTS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E 86TH ST SUITE 502
NEW YORK NY
10028-3003
US

IV. Provider business mailing address

210 E 86TH ST SUITE 502
NEW YORK NY
10028-3003
US

V. Phone/Fax

Practice location:
  • Phone: 212-744-2345
  • Fax: 212-744-2129
Mailing address:
  • Phone: 212-744-2345
  • Fax: 212-744-2129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number1925461
License Number StateNY

VIII. Authorized Official

Name: MARIE NOELLE LANGAN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 212-744-3345