Provider Demographics
NPI:1386603249
Name:NORTH SUFFOLK CARDIOLOGY ASSOCIATES
Entity type:Organization
Organization Name:NORTH SUFFOLK CARDIOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:CESA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-941-2704
Mailing Address - Street 1:45 RESEARCH WAY
Mailing Address - Street 2:SUITE 008 & 108
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:631-941-2704
Mailing Address - Fax:
Practice Address - Street 1:45 RESEARCH WAY
Practice Address - Street 2:SUITE 008 & 108
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-6401
Practice Address - Country:US
Practice Address - Phone:631-941-2704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF66384Medicare UPIN
NYB80474Medicare UPIN
NYB80470Medicare UPIN
NYB12751Medicare UPIN
NYW08361Medicare PIN
NYB20253Medicare UPIN
NYG70033Medicare UPIN
NYH41902Medicare UPIN
NYH61675Medicare UPIN
NYF32865Medicare UPIN
NYF78485Medicare UPIN