Organization
INTERVENTIONAL CARDIAC CONSULTANTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW M GRUNWALD M.D. (SENIOR PARTNER)
(516) 358-5401
Entity
Organization
Contact information
Practice address
3003 NEW HYDE PARK RD, 406, NEW HYDE PARK, NY 11042-1214
(516) 358-5401
(516) 358-5403
Mailing address
3003 NEW HYDE PARK RD, 406, NEW HYDE PARK, NY 11042-1214
(516) 358-5401
(516) 358-5403
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02301251
—
NY
Enumeration date
10/20/2006
Last updated
02/16/2012
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