MEDICARE: PACE CARDIOLOGY PC

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	207RC0000X	Cardiovascular Disease Physician	242342	NY
2	207RI0011X	Interventional Cardiology Physician

General Provider Information

NPI Number	:	1821437401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACE CARDIOLOGY PC

Provider Business Mailing Address
First Line	:	135 OCEAN PKWY STE 1T
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2579
Country	:	US
Telephone Number	:	718-633-8862
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 OCEAN PKWY STE 1T
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2579
Country	:	US
Telephone Number	:	718-633-8862
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHAFIQ REHMAN
Credential	:	MD
Telephone Number	:	718-633-8862

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	01/15/2025

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