Provider Demographics
NPI:1427002419
Name:CARDIOLOGY ASSOCIATES OF SCHENECTADY, P.C.
Entity type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF SCHENECTADY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DELEGATED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ARMENIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-377-8184
Mailing Address - Street 1:2546 BALLTOWN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-1079
Mailing Address - Country:US
Mailing Address - Phone:518-377-8184
Mailing Address - Fax:518-374-5918
Practice Address - Street 1:2546 BALLTOWN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1079
Practice Address - Country:US
Practice Address - Phone:518-377-8184
Practice Address - Fax:518-374-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56004AMedicare PIN
NY52023AMedicare PIN