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Organization
LONG ISLAND CARDIOVASCULAR MEDICAL ASSOCIATES
Active
Organization
LONG ISLAND CARDIOVASCULAR MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER MAYER (AUTHORIZATION DEPARTMENT)
(631) 422-1900
Entity
Organization
Contact information
Practice address
200 W. MAIN STREET, BABYLON, NY 11702
(631) 422-1900
(631) 422-2600
Mailing address
200 W. MAIN STREET, BABYLON, NY 11702
(631) 422-1900
(631) 422-2600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
140169
NY
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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