Organization
GRAMERCY CARDIAC DIAGNOSTIC SERVICES, P.C.
Active
Organization
GRAMERCY CARDIAC DIAGNOSTIC SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VICTORIA MARIN (PRECERTIFICATION/CREDENTIALS)
(212) 475-8066
Entity
Organization
Contact information
Practice address
131 W 35TH ST, FLOOR 7, NEW YORK, NY 10001-2111
(212) 475-8066
(212) 475-4175
Mailing address
131 W 35TH ST, FLOOR 7, NEW YORK, NY 10001-2111
(212) 475-8066
(212) 475-4175
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
60-144465-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00707915-011
—
NY
01
—
0075979
GHI PPO
NY
01
—
0607377 & 4547009
AETNA HMO & PPO
NY
01
—
1701681
FIRSTHEALTH
NY
01
—
423458957
HEALTHPLUS
NY
01
—
7246
AFFINITY
NY
01
—
75979
MEDICARE
NY
01
—
NY00062
BEECHSTREET
NY
01
—
P2616990
OXFORD
NY
01
—
WFL491
EMPIRE BCBS
NY
Enumeration date
07/08/2005
Last updated
10/16/2015
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