Organization
COMPLETECARE CARDIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY PAUL KIEWE M.D. (PRESIDENT/ CEO)
(516) 775-0055
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, SUITE W285, LAKE SUCCESS, NY 11042
(516) 775-0055
(516) 775-4647
Mailing address
2001 MARCUS AVE, SUITE W285, LAKE SUCCESS, NY 11042
(516) 775-0055
(516) 775-4647
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349AX
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
08/28/2006
Last updated
02/21/2013
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