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ISLAND ELECTROCARDIOGRAPHIC SERVICES PC NPI 1376513093


NPI Information

NPI: 1376513093
Provider Name: ISLAND ELECTROCARDIOGRAPHIC SERVICES, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
375 SEGUINE AVE
STATEN ISLAND UNIVERSITY SOUTH, FLOOR 1
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 876-6220
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ISLAND ELECTROCARDIOGRAPHIC SERVICES, PC is a cardiovascular disease internal medicine in Staten Island, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ISLAND ELECTROCARDIOGRAPHIC SERVICES, PC NPI is 1376513093. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

375 SEGUINE AVE
STATEN ISLAND UNIVERSITY SOUTH, FLOOR 1
STATEN ISLAND, NY
ZIP 10309-932
Phone: (718) 876-6220
Fax: (718) 876-5969

The provider's authorized official is Leonard Lefkovic .
The authorized official title is C. E. O. and has the following contact phone number (718) 876-6220.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 11/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100721426MEDICAIDNEW YORK
2W07821MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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