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General NPI Number Information
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NPI Number | 1780841106
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Entity Type | Organization
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Legal Business Name | SURSUM CORDA CARDIOLOGY, P.C.
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1122 AVENUE P
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City | BROOKLYN
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State | NY
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Zip | 11229-1025
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Country | US
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Telephone | 718-421-1212
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Fax | 718-998-7660
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Provider Business Mailing Address
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Address Line | 2 SAGE CT
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City | WHITE PLAINS
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State | NY
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Zip | 10605-4409
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Country | US
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Telephone | 718-998-2323
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Fax | 718-998-7660
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERARD HANLEY
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Credential | MD
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Telephone | 718-421-1212
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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 | 171058
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License Number State | NY
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