Provider Demographics
NPI:1417393331
Name:EMPIRE CARDIOVASCULAR, P.C.
Entity type:Organization
Organization Name:EMPIRE CARDIOVASCULAR, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDHARTH
Authorized Official - Middle Name:
Authorized Official - Last Name:YADAV
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-978-6634
Mailing Address - Street 1:230 HILTON AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8115
Mailing Address - Country:US
Mailing Address - Phone:516-483-6440
Mailing Address - Fax:516-483-6439
Practice Address - Street 1:230 HILTON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8115
Practice Address - Country:US
Practice Address - Phone:516-483-6440
Practice Address - Fax:516-483-6439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-18
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251309207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03352036Medicaid