Organization
LONG ISLAND HEART AND VASCULAR SPECIALIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARTHIK R GUJJA MD (MEDICAL DIRECTOR)
(347) 350-7225
Entity
Organization
Contact information
Practice address
1600 STEWART AVE STE 105, WESTBURY, NY 11590
(347) 350-7225
(347) 240-4434
Mailing address
33 OLD WHEATLEY RD, GLEN HEAD, NY 11545-2611
(347) 350-7225
(347) 240-4434
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
255977
NY
Other
Enumeration date
06/22/2018
Last updated
08/28/2018
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