EAST END CARDIOLOGY PC NPI 1700940939

NPI Information

NPI: 1700940939
Provider Name: EAST END CARDIOLOGY, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 33D0975881

Address:
1279 E MAIN ST
RIVERHEAD, NY
ZIP 11901
Phone: (631) 727-2100
Get Directions

EAST END CARDIOLOGY, PC is a cardiovascular disease internal medicine in Riverhead, 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. EAST END CARDIOLOGY, PC NPI is 1700940939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1279 E MAIN ST
RIVERHEAD, NY
ZIP 11901-583
Phone: (631) 727-2100
Fax: (631) 727-2646

The provider's authorized official is John W Pearson .
The authorized official title is President and has the following contact phone number (631) 727-2100.

The CLIA number assigned to this NPI record is 33D0975881 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 8/22/2020.

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		NEW YORK	Yes

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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