LAURELTON HEART SPECIALIST P.C. NPI 1679769152

NPI Information

NPI: 1679769152
Provider Name: LAURELTON HEART SPECIALIST P.C.

Doing Business As: STRONG HEALTH MEDICAL GROUP

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
22414 MERRICK BLVD
LAURELTON, NY
ZIP 11413
Phone: (718) 949-9400
Get Directions

LAURELTON HEART SPECIALIST P.C. is a cardiovascular disease internal medicine in Laurelton, 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. LAURELTON HEART SPECIALIST P.C. NPI is 1679769152. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Strong Health Medical Group.

The provider's business location address is:

22414 MERRICK BLVD
LAURELTON, NY
ZIP 11413-023
Phone: (718) 949-9400
Fax: (718) 228-3636

The provider's authorized official is Olakunle Akinboboye .
The authorized official title is President and has the following contact phone number (718) 949-9400.

The CLIA number assigned to this NPI record is 33D2165352 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	202443	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05996	MEDICARE PIN	NEW YORK
2	F73230	MEDICARE UPIN	NEW 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: 5/5/2024

NPI Synchronization or Removal

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