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NPI Code Detail

MEDICARE: AVENUE V CARDIOLOGY P.C

MEDICARE: AVENUE V CARDIOLOGY 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
1207RC0000XCardiovascular Disease Physician238838NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1238838OTHERNYLICENSE

General Provider Information

NPI Number : 1962693820
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVENUE V CARDIOLOGY P.C
Provider Business Mailing Address
First Line : 3025 AVENUE V
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5448
Country : US
Telephone Number : 718-513-0966
Fax Number : 718-513-1020
Provider Business Practice Location Address
First Line : 3025 AVENUE V
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5448
Country : US
Telephone Number : 718-513-0966
Fax Number : 718-513-1020
Authorized Official
Title or Position : OFFICER OF CORP
Name : RAJEN MANIAR
Credential :
Telephone Number : 718-513-0966
Provider Enumeration Date : 08/06/2007
Last Update Date : 08/08/2007

Similar Medicare Providers

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1528112844 — DR. MICHAEL IRLIN DDS
Practice Location Address:
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Practice Fax:
1356538854 — BEST MEDICAL SERVICES P.C.
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1164690244 — MARINA SLOOTSKY PHARM.D.
Practice Location Address:
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