PEDIATRIC CARDIOLOGY OF LI PC NPI 1003883653

NPI Information

PEDIATRIC CARDIOLOGY OF LI PC is a pediatric cardiology pediatrics in Roslyn, NY. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIC CARDIOLOGY OF LI PC NPI is 1003883653. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pediatric Cardiology Of Li.

The provider's business location address is:

100 PORT WASHINGTON BLVD
SUITE 108
ROSLYN, NY
ZIP 11576-347
Phone: (516) 365-3340
Fax: (516) 365-5512

The provider's authorized official is Ambrose M. Vallone .
The authorized official title is Partner and has the following contact phone number (516) 365-3340.

The CLIA number assigned to this NPI record is 33D2194910 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 3/25/2013.

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:

Other Identifiers

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