Healthcare Provider Details

I. General information

NPI: 1962785303
Provider Name (Legal Business Name): SSH CARDIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2011
Last Update Date: 09/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 MERRICK ROAD SUITE 402
ROCKVILLE CENTRE NY
11570-5254
US

IV. Provider business mailing address

242 MERRICK ROAD SUITE 402
ROCKVILLE CENTRE NY
11570-5254
US

V. Phone/Fax

Practice location:
  • Phone: 516-763-2800
  • Fax: 516-763-2594
Mailing address:
  • Phone: 516-763-2800
  • Fax: 516-763-2594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN HUGH COVEY
Title or Position: CO-PRESIDENT
Credential: MD
Phone: 516-763-2800