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General NPI Number Information
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NPI Number | 1740418433
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Entity Type | Organization
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Legal Business Name | HEART CARE OF NEW YORK, PC
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 22 PINE DR
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City | GREAT NECK
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State | NY
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Zip | 11021-2838
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Country | US
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Telephone | 516-365-2046
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Fax |
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Provider Business Mailing Address
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Address Line | 22 PINE DR
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City | GREAT NECK
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State | NY
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Zip | 11021-2838
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Country | US
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Telephone | 847-840-5158
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VASUNDHARA VIDYARTHI
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Credential | M.D.
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Telephone | 847-847-5158
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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 | 257109
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License Number State | NY
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