Organization
PROGRESSIVE ARRHYTHMIA & CARDIAC CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILLEEN MARTINEZ (CREDENTIALING LAISON)
(631) 482-1355
Entity
Organization
Contact information
Practice address
1350 DEER PARK AVE, NORTH BABYLON, NY 11703-1619
(631) 482-1355
(631) 482-1356
Mailing address
1350 DEER PARK AVE, NORTH BABYLON, NY 11703-1619
(631) 482-1355
(631) 482-1356
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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