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SUFFOLK CARDIOVASCULAR CONSULTANTS PLLC NPI 1588846703


NPI Information

NPI: 1588846703
Provider Name: SUFFOLK CARDIOVASCULAR CONSULTANTS, PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 33D2209675

Address:
1920 DEER PARK AVE
SUITE 104
DEER PARK, NY
ZIP 11729
Phone: (631) 392-1680
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SUFFOLK CARDIOVASCULAR CONSULTANTS, PLLC is a cardiovascular disease internal medicine in Deer Park, 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. SUFFOLK CARDIOVASCULAR CONSULTANTS, PLLC NPI is 1588846703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1920 DEER PARK AVE
SUITE 104
DEER PARK, NY
ZIP 11729-314
Phone: (631) 392-1680
Fax: (631) 392-1683

The provider's authorized official is Daniel R Landolphi .
The authorized official title is President/owner and has the following contact phone number (631) 456-0044.

The CLIA number assigned to this NPI record is 33D2209675 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 11/29/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease186182NEW YORKYes

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: 5/5/2024

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