Organization
WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
Active
Other names
Winthrop Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AMMAZZALORSO MD (CO-PRESIDENT)
(516) 663-8209
Entity
Organization
Contact information
Practice address
120 MINEOLA BLVD, SUITE 500, MINEOLA, NY 11501-4064
(516) 663-4480
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-5855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
11/19/2014
Last updated
12/01/2014
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