Healthcare Provider Details

I. General information

NPI: 1760538235
Provider Name (Legal Business Name): CARNEGIE HILL CARDIOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13421 SPRINGFIELD BLVD
SPRINGFIELD GARDENS NY
11413-1448
US

IV. Provider business mailing address

82 JOHNSON AVE
ENGLEWOOD CLIFFS NJ
07632-2201
US

V. Phone/Fax

Practice location:
  • Phone: 718-528-6377
  • Fax: 718-949-4580
Mailing address:
  • Phone: 201-314-7922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number169313
License Number StateNY

VIII. Authorized Official

Name: DR. TAMANNA NAHAR
Title or Position: DIRECTOR
Credential: M.D.
Phone: 201-314-7922