Organization
NORTHSHORE CARDIO PULMONARY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIAKAL JOSEPH ANTO MD (PRESIDENT)
(516) 496-7900
Entity
Organization
Contact information
Practice address
8 GREENFIELD RD, SYOSSET, NY 11791
(516) 496-7900
(516) 496-2139
Mailing address
8 GREENFIELD RD, SYOSSET, NY 11791
(516) 496-7900
(516) 496-2139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W0Z051
MEDICARE ID-TYPE UNSPECIFIED
NY
Enumeration date
11/07/2006
Last updated
04/29/2008
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