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Organization

VAZZANA&BOGIN CARDIOLOGY ASSOC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS JOHN VAZZANA MD (OWNER)
(718) 663-6400
Entity
Organization

Contact information

Practice address
501 SEAVIEW AVE, SUITE200, STATEN ISLAND, NY 10305-3436
(718) 663-6400
(718) 663-6490
Mailing address
501 SEAVIEW AVE, SUITE200, STATEN ISLAND, NY 10305-3436
(718) 663-6400
(718) 663-6490

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02602142
NY
01
DD2415
MEDICARE RAILROAD
NY
Enumeration date
12/13/2005
Last updated
11/28/2007
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