South Nassau Cardiovascular Practice, PC

NPI #1447545843 in Hewlett, New York

Provider Information

NPI Number: 1447545843
Entity Type: Organization
Organization Name: South Nassau Cardiovascular Practice, PC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTH NASSAU COMMUNITIES HOSPITAL
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: Jun 14, 2011
Last Updated: Jun 14, 2011

Practice Location

Address: 1200 W BROADWAY
City: Hewlett
State: New York
ZIP Code: 11557-1913
Phone: (516) 887-7000

Authorized Official

Name: MARK BOGEN
Title: VP FINANCE
Phone: (516) 632-3965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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