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Organization
SUFFERN EKG ECHO CARDIOLOGY PC
Active
Organization
SUFFERN EKG ECHO CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GODINO (VP, DPFS)
(845) 987-3945
Entity
Organization
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 987-3973
Mailing address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 987-3952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01085730
—
NY
Enumeration date
05/14/2007
Last updated
04/08/2008
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