Organization
ATLANTIC CARDIOVASCULAR CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADAY C GONZALEZ MD (CARDIOLOGIST)
(646) 415-4122
Entity
Organization
Contact information
Practice address
504 GRAMATAN AVE, MOUNT VERNON, NY 10552-3009
(732) 426-7948
Mailing address
504 GRAMATAN AVE, MOUNT VERNON, NY 10552-3009
(732) 426-7948
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112688592
DRIVER LICENSE
NY
Enumeration date
11/18/2019
Last updated
09/11/2023
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