Provider Demographics
NPI:1316966534
Name:NYCTG NEW YORK CARDIOTHORACIC GROUP
Entity type:Organization
Organization Name:NYCTG NEW YORK CARDIOTHORACIC GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CARDIOTHORACIC SURGERY
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-493-8793
Mailing Address - Street 1:495 N WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2000
Mailing Address - Country:US
Mailing Address - Phone:914-493-8793
Mailing Address - Fax:914-493-1610
Practice Address - Street 1:95 GRASSLANDS RD
Practice Address - Street 2:WESTCHESTER MEDICAL CENTER MACY 114W
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1646
Practice Address - Country:US
Practice Address - Phone:914-493-8793
Practice Address - Fax:914-493-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140743208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherGROUP TAX
NY=========OtherGROUP TAX
NYWAW181Medicare ID - Type UnspecifiedGROUP PROVIDER #