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Organization

SUFFOLK CARDIOVASCULAR CONSULTANTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL R LANDOLPHI MD (PRESIDENT/OWNER)
(631) 456-0044
Entity
Organization

Contact information

Practice address
1920 DEER PARK AVE, SUITE 104, DEER PARK, NY 11729-3314
(631) 392-1680
(631) 392-1683
Mailing address
1920 DEER PARK AVE, SUITE 104, DEER PARK, NY 11729-3314
(631) 392-1680
(631) 392-1683

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
186182
NY

Other

Enumeration date
11/29/2007
Last updated
11/29/2007
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