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General NPI Number Information
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NPI Number | 1609984913
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIAC MEDICINE PC
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 16215 HIGHLAND AVENUE SUITE 1A
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 718-297-8398
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Fax | 718-297-0063
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Provider Business Mailing Address
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Address Line | 16215 HIGHLAND AVENUE SUITE 1A
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 718-297-8398
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Fax | 718-297-0063
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Authorized Official
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Title or Position | OWNER
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Name | RAJEEV SRIVASTAVA
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Credential | MD
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Telephone | 718-297-8398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 197800
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License Number State | NY
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