# KOMINOS INTEGRATIVE CARDIOLOGY, LLC

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

## Provider details

- **NPI number:** 1235503665
- **Authorized official:** DR. VIVIAN AKRIVE KOMINOS MD (OWNER/CARDIOLOGIST)
- **Authorized official phone:** (732) 620-9398

## Contact information

- **Practice address:** 107 MONMOUTH RD STE 201, WEST LONG BRANCH, NJ 07764-1021
- **Practice address phone:** (732) 620-9398
- **Mailing address:** 107 MONMOUTH RD STE 201, WEST LONG BRANCH, NJ 07764-1021
- **Mailing address phone:** (732) 620-9398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MA4696500 | NJ | Yes |

## Other

- **Enumeration date:** 11/23/2015
- **Last updated:** 11/23/2015