Organization
MANHATTAN CARDIAC PET IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW VANTOSH MD (OWNER)
7162124202092
Entity
Organization
Contact information
Practice address
FIRST AVENUE AT 16TH STREET, NEW YORK, NY 10003
(716) 692-2160
(716) 213-0348
Mailing address
DEPARTMENT 5967, CAROL STREAM, IL 60122
(716) 692-2160
(716) 213-0348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
142209
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00978730
—
NY
Enumeration date
11/07/2006
Last updated
08/22/2020
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