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NPI Code Detail

MEDICARE: PREMIER CARDIOLOGY CONSULTANTS, PLLC

MEDICARE: PREMIER CARDIOLOGY CONSULTANTS, PLLC
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 PhysicianNY DOES NOT ISSUENY

General Provider Information

NPI Number : 1497773394
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER CARDIOLOGY CONSULTANTS, PLLC
Provider Business Mailing Address
First Line : 2001 MARCUS AVE
Second Line : SUITE N-122
City : NEW HYDE PARK
State : NY
Zip : 11042-1011
Country : US
Telephone Number : 516-437-5600
Fax Number : 516-437-7428
Provider Business Practice Location Address
First Line : 2001 MARCUS AVE
Second Line : SUITE N-122
City : NEW HYDE PARK
State : NY
Zip : 11042-1011
Country : US
Telephone Number : 516-437-5600
Fax Number : 516-437-7428
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. SUMIT MITTLE
Credential : M.D.
Telephone Number : 516-437-5600
Provider Enumeration Date : 07/18/2006
Last Update Date : 08/22/2020

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Directions to “PREMIER CARDIOLOGY CONSULTANTS, PLLC ” Practice Location

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