1992979249 NPI number — NEW YORK CARDIAC CARE, P.C.

Table of content: (NPI 1992979249)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992979249 NPI number — NEW YORK CARDIAC CARE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK CARDIAC CARE, P.C.
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:
1992979249
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
74 W CEDAR ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POUGHKEEPSIE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12601-1310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-452-7319
Provider Business Mailing Address Fax Number:
845-452-7602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
74 W CEDAR ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POUGHKEEPSIE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12601-1310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-452-7319
Provider Business Practice Location Address Fax Number:
845-452-7602
Provider Enumeration Date:
04/17/2008

Additional Information

Authorized Official

Authorized Official Last Name:
NAQVI
Authorized Official First Name:
SYED HASAN
Authorized Official Middle Name:
MAHBOOB
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
845-452-7319

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  229446-1 , 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)

  • Identifier: 000000103118 . This is a "GHI HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4147566 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0D2860 . This is a "HEALTH NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10108227 . This is a "CDPHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3803320 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P12400637 . This is a "MULTI PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000414830001 . This is a "HEALTH NOW" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2589207 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02709268 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 70B501 . This is a "EMPIRE BLUECROSS BLUESHIE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P3708645 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7116766 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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