1750651436 NPI number — NEW YORK CARDIOVASCULAR SURGICAL ASSOCIATES LLC

Table of content: SHIKHA ANU PHILIP RN, NP (NPI 1861171746)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750651436 NPI number — NEW YORK CARDIOVASCULAR SURGICAL ASSOCIATES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK CARDIOVASCULAR SURGICAL ASSOCIATES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750651436
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 TUDOR CITY PLACE
Provider Second Line Business Mailing Address:
SUITE 712
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10017-6864
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-696-9183
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 EAST 46 STREET
Provider Second Line Business Practice Location Address:
SUITE 501
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10017-9284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-696-9183
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2012

Additional Information

Authorized Official

Authorized Official Last Name:
ANASTASI
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
MD/OWNER
Authorized Official Telephone Number:
814-696-9183

Provider Taxonomy Codes

  • Taxonomy code: 208G00000X , with the licence number:  146593 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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