# INTEGRATED CARDIOVASCULAR IMAGING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083874911
- **Authorized official:** ALAIN ALBERT FEDIDA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 755-3023

## Contact information

- **Practice address:** 5 E 59TH ST, 6TH FLOOR, NEW YORK, NY 10022-1027
- **Practice address phone:** (212) 755-3023
- **Mailing address:** 45 W 60TH ST, \#31-H, NEW YORK, NY 10023-7940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | 172083 | NY | Yes |

## Other

- **Enumeration date:** 06/13/2008
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01129006 | — | NY |