Provider Demographics
NPI:1992979249
Name:NEW YORK CARDIAC CARE, P.C.
Entity type:Organization
Organization Name:NEW YORK CARDIAC CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED HASAN
Authorized Official - Middle Name:MAHBOOB
Authorized Official - Last Name:NAQVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-452-7319
Mailing Address - Street 1:74 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1310
Mailing Address - Country:US
Mailing Address - Phone:845-452-7319
Mailing Address - Fax:845-452-7602
Practice Address - Street 1:74 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1310
Practice Address - Country:US
Practice Address - Phone:845-452-7319
Practice Address - Fax:845-452-7602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229446-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000103118OtherGHI HMO
NY4147566OtherMVP
NY0D2860OtherHEALTH NET
NY10108227OtherCDPHP
NY3803320OtherCIGNA
NYP12400637OtherMULTI PLAN
NY000414830001OtherHEALTH NOW
NY2589207OtherGHI
NY02709268Medicaid
NY70B501OtherEMPIRE BLUECROSS BLUESHIE
NYP3708645OtherOXFORD
NY7116766OtherAETNA
NY02709268Medicaid