Organization
CITY HEART VASCULAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS KESANAKURTHY MD (PRESIDENT)
(718) 581-8093
Entity
Organization
Contact information
Practice address
12508 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2234
(718) 581-8093
(929) 990-2928
Mailing address
12508 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2234
(718) 581-8093
(929) 990-2928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
11/13/2023
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