Healthcare Provider Details

I. General information

NPI: 1558686733
Provider Name (Legal Business Name): MOUNT SINAI - MANHATTAN CARDIAC ARRHYTHMIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 03/31/2010
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 Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. PAIGE VERDE
Title or Position: OFFICE MANAGER
Credential:
Phone: 212-744-2345