Provider Demographics
NPI:1699287201
Name:HEART & RHYTHM CENTERS OF EXCELLENCE, INC
Entity type:Organization
Organization Name:HEART & RHYTHM CENTERS OF EXCELLENCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AZRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AVEZBADALOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-671-9252
Mailing Address - Street 1:1623 FLATBUSH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3259
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1623 FLATBUSH AVE STE 110
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3259
Practice Address - Country:US
Practice Address - Phone:646-671-9252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-05
Last Update Date:2017-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty