Organization
CARDIOVASCULAR CONSULTANTS OF STATEN ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILLIE PERSICHETTY (ADMINISTRATIVE ASSISANTANT)
(718) 981-2864
Entity
Organization
Contact information
Practice address
11 RALPH PL, SUITE 109, STATEN ISLAND, NY 10304-4419
(718) 981-2864
(718) 981-5003
Mailing address
11 RALPH PL, SUITE 109, STATEN ISLAND, NY 10304-4419
(718) 981-2864
(718) 981-5003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NY
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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