Healthcare Provider Details

I. General information

NPI: 1538121710
Provider Name (Legal Business Name): CARDIOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 03/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 IRVING AVE SUITE 500
SYRACUSE NY
13210-1640
US

IV. Provider business mailing address

739 IRVING AVE SUITE 500
SYRACUSE NY
13210-1640
US

V. Phone/Fax

Practice location:
  • Phone: 315-470-7409
  • Fax: 315-475-2357
Mailing address:
  • Phone: 315-470-7409
  • Fax: 315-475-2357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY J NAVONE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 315-470-7409