Organization
SOUTHBAY CARDIOVASCULAR ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AARON MD (PRESIDENT)
(631) 669-2555
Entity
Organization
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-5787
Mailing address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-5787
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01631447
—
NY
Enumeration date
01/31/2006
Last updated
10/03/2007
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