Organization
INTEGRATED CARDIOVASCULAR IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN ALBERT FEDIDA MD (MEDICAL DIRECTOR)
(212) 755-3023
Entity
Organization
Contact information
Practice address
5 E 59TH ST, 6TH FLOOR, NEW YORK, NY 10022-1027
(212) 755-3023
Mailing address
45 W 60TH ST, #31-H, NEW YORK, NY 10023-7940
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
172083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01129006
—
NY
Enumeration date
06/13/2008
Last updated
06/13/2008
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