Organization
CARDIOVASCULAR ASSOCIATES OF STATEN ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY K. O'BYRNE M.D. (OWNER)
(718) 667-0077
Entity
Organization
Contact information
Practice address
501 SEAVIEW AVE, SUITE 100, STATEN ISLAND, NY 10305-3419
(718) 667-0077
(718) 667-4103
Mailing address
501 SEAVIEW AVE, SUITE 100, STATEN ISLAND, NY 10305-3419
(718) 667-0077
(718) 667-4103
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
194645
NY
207RC0000X
Cardiovascular Disease Physician
198311
NY
207RC0000X
Cardiovascular Disease Physician
216124
NY
207RC0000X
Cardiovascular Disease Physician
231108
NY
Other
Enumeration date
03/17/2011
Last updated
05/05/2011
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