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NPI Code Detail

MEDICARE: HEARTWISE CARDIOLOGY PLLC

MEDICARE: HEARTWISE CARDIOLOGY 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 Physician

General Provider Information

NPI Number : 1720184211
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTWISE CARDIOLOGY PLLC
Provider Business Mailing Address
First Line : 148 E 38TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10016-2607
Country : US
Telephone Number : 212-679-4488
Fax Number : 212-684-4841
Provider Business Practice Location Address
First Line : 148 E 38TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10016-2607
Country : US
Telephone Number : 212-679-4488
Fax Number : 212-684-4841
Authorized Official
Title or Position : DOCTOR
Name : RAYMONDA RASTEGAR
Credential : M.D.
Telephone Number : 212-679-4488
Provider Enumeration Date : 09/15/2006
Last Update Date : 08/20/2008

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Directions to “HEARTWISE CARDIOLOGY PLLC ” Practice Location

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