Provider Demographics
NPI:1124126917
Name:CARDIOVASCULAR ASSOCIATES OF NEW YORK, P.C.
Entity type:Organization
Organization Name:CARDIOVASCULAR ASSOCIATES OF NEW YORK, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-717-0281
Mailing Address - Street 1:PO BOX 610613
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-0613
Mailing Address - Country:US
Mailing Address - Phone:718-717-0233
Mailing Address - Fax:718-717-0265
Practice Address - Street 1:44-01 FRANCIS LEWIS BOULEVARD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3002
Practice Address - Country:US
Practice Address - Phone:718-423-3355
Practice Address - Fax:718-423-3721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02420928Medicaid
NY586P91Medicare PIN
NY340901Medicare PIN
NY476P81Medicare PIN
NYA400032620Medicare PIN
NY05439BCMedicare PIN
NY586Q91Medicare PIN
NY587P01Medicare PIN
NYWFJ842Medicare PIN
NY05439Medicare PIN
NY02420928Medicaid
NY05439BFMedicare PIN
NYA400037333Medicare PIN
NY05439GMedicare PIN
NY586Q11Medicare PIN
NY95D013Medicare PIN