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NPI Code Detail

MEDICARE: ANDREW VANTOSH MD

MEDICARE: ANDREW VANTOSH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician142209NY
2207UN0901XNuclear Cardiology Physician142209NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255317400
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW VANTOSH MD
Provider Business Mailing Address
First Line : PO BOX 1056
Second Line :
City : PORT WASHINGTON
State : NY
Zip : 11050-1056
Country : US
Telephone Number : 516-629-2470
Fax Number : 516-629-2027
Provider Business Practice Location Address
First Line : 100 PORT WASHINGTON BLVD
Second Line : DIRECTOR, NUCLEAR CARDIOLOGY
City : ROSLYN
State : NY
Zip : 11576-1353
Country : US
Telephone Number : 516-562-6535
Fax Number : 516-562-6534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 09/20/2013

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