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BAY RIDGE HEARTS CARDIOVASCULAR CARE PC NPI 1679747430


NPI Information

NPI: 1679747430
Provider Name: BAY RIDGE HEARTS CARDIOVASCULAR CARE, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
217 OVINGTON AVE
BROOKLYN, NY
ZIP 11209
Phone: (718) 238-0098
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BAY RIDGE HEARTS CARDIOVASCULAR CARE, PC is a cardiovascular disease internal medicine in Brooklyn, 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. BAY RIDGE HEARTS CARDIOVASCULAR CARE, PC NPI is 1679747430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

217 OVINGTON AVE
BROOKLYN, NY
ZIP 11209-204
Phone: (718) 238-0098
Fax: (718) 836-6849

The provider's authorized official is Antoine V Fernaine .
The authorized official title is President and has the following contact phone number (718) 238-0098.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 8/15/2008.


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 Disease122899NEW YORKYes

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
100679929MEDICAIDNEW YORK
2A100000054MEDICARE UPINNEW 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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