Organization
CARDIOVASCULAR CONSULTANT OF NEW YORK, P.C.
Active
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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