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EAST SIDE MEDICAL & CARDIOVASCULAR ASSOCIATES P.C. NPI 1861570889


NPI Information

NPI: 1861570889
Provider Name: EAST SIDE MEDICAL & CARDIOVASCULAR ASSOCIATES, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D2123091

Address:
184 E 70TH ST
NEW YORK, NY
ZIP 10021
Phone: (212) 737-2270
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EAST SIDE MEDICAL & CARDIOVASCULAR ASSOCIATES, P.C. is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EAST SIDE MEDICAL & CARDIOVASCULAR ASSOCIATES, P.C. NPI is 1861570889. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

184 E 70TH ST
NEW YORK, NY
ZIP 10021-154
Phone: (212) 737-2270
Fax: (212) 249-2054

The provider's authorized official is Ronald Wayne Galluccio .
The authorized official title is President and has the following contact phone number (212) 737-2270.

The CLIA number assigned to this NPI record is 33D2123091 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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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