Organization
EASTERN SUFFOLK CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL A SIRRINE (CREDENTIALING)
(631) 369-5005
Entity
Organization
Contact information
Practice address
951 ROANOKE AVE, RIVERHEAD, NY 11901-2724
(631) 727-7773
(631) 727-7832
Mailing address
951 ROANOKE AVE, RIVERHEAD, NY 11901-2724
(631) 727-7773
(631) 727-7832
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01456404
—
NY
Enumeration date
06/03/2006
Last updated
12/11/2012
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