Individual
ANTONIO P MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PORT WASHINGTON BLVD, SUITE 105, ROSLYN, NY 11576-1353
(516) 390-9640
(516) 390-9650
Mailing address
100 PORT WASHINGTON BLVD, SUITE 105, ROSLYN, NY 11576-1353
(516) 390-9640
(516) 390-9650
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207914
NY
207RI0011X
Interventional Cardiology Physician
Primary
207914
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02599200
—
NY
Enumeration date
05/12/2006
Last updated
03/22/2021
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