Healthcare Provider Details

I. General information

NPI: 1467625160
Provider Name (Legal Business Name): CARDIAC DIAGNOSTIC ASSOCIATE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 CENTRAL PARK WEST SUITE 1
NEW YORK NY
10023-0000
US

IV. Provider business mailing address

200 RIVERSIDE BLVD SUITE 15D
NEW YORK NY
10069-0901
US

V. Phone/Fax

Practice location:
  • Phone: 212-543-3400
  • Fax:
Mailing address:
  • Phone: 212-543-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateNY
# 6
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. HALEH MILANI
Title or Position: PRESIDENT
Credential: MD
Phone: 212-543-3400