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Organization

CARDIOVASCULAR DIAGNOSTIC CARE OF NEW YORK P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATTY RESTIVO (DIRECTOR OF CREDENTIALING)
(516) 794-4161
Entity
Organization

Contact information

Practice address
423 E 138TH ST, BRONX, NY 10454-3041
(718) 292-0100
(347) 591-3862
Mailing address
248 BAYVILLE AVE, P.O. BOX 1357, BAYVILLE, NY 11709-1616
(516) 794-4161
(516) 794-9568

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1225121
NY

Other

Enumeration date
10/14/2008
Last updated
10/14/2008
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