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NPI Code Detail

MEDICARE: ISLAND CARDIOVASCULAR SURGERY, PC

MEDICARE: ISLAND CARDIOVASCULAR SURGERY, 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
1208600000XSurgery Physician
22086S0129XVascular Surgery Physician
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number : 1982262440
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISLAND CARDIOVASCULAR SURGERY, PC
Provider Business Mailing Address
First Line : 3556 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3253
Country : US
Telephone Number : 718-227-8346
Fax Number :
Provider Business Practice Location Address
First Line : 3556 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3253
Country : US
Telephone Number : 718-227-8346
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. JOHN ZARCONE
Credential : MD
Telephone Number : 718-227-8346
Provider Enumeration Date : 05/30/2019
Last Update Date : 08/18/2023

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Practice Location Address:
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10312-3253
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Practice Fax: 718-227-8344

Directions to “ISLAND CARDIOVASCULAR SURGERY, PC ” Practice Location

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