Organization
CARDIOVASCULAR CONSULTANT OF NEW YORK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVARO JOSE DOMINGUEZ M.D. (PRESIDENT)
(917) 325-1954
Entity
Organization
Contact information
Practice address
715 W 170TH ST STE LH, NEW YORK, NY 10032-2907
(212) 781-3722
(212) 781-3695
Mailing address
715 W 170TH ST STE LH, NEW YORK, NY 10032-2907
(212) 781-3722
(212) 781-3695
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01241318
—
NY
05
—
04126436
—
NY
Enumeration date
01/29/2015
Last updated
02/05/2024
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