MEDICARE: NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.

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
1	207L00000X	Anesthesiology Physician		NY

Other Identifiers

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

General Provider Information

NPI Number	:	1801834411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.

Provider Business Mailing Address
First Line	:	100 PORT WASHINGTON BLVD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-1347
Country	:	US
Telephone Number	:	516-627-6624
Fax Number	:	516-627-3804

Provider Business Practice Location Address
First Line	:	100 PORT WASHINGTON BLVD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-1347
Country	:	US
Telephone Number	:	516-627-6624
Fax Number	:	516-627-3804

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL I. COHEN
Credential	:	M.D.
Telephone Number	:	516-627-6624

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	06/06/2013

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