Organization · Type 2 NPI

Mediaid Pc.,

Cardiovascular Disease Physician · New York, NY

NPI number 1720282924 Active

Practice location

1602 Saint Nicholas Ave
New York, NY 10040-3311

Mailing address

906 Oak Tree Ave, Suite J.,
South Plainfield, NJ 07080-5127

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000XMA066725 (NJ)
Cardiovascular Disease Physician Primary 207RC0000X209747-1 (NY)
Ophthalmology Physician 207W00000XMA06158600 (NJ)
Ophthalmology Physician 207W00000X1900871 (NY)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3 other providers at this address

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About NPI 1720282924

Mediaid Pc.,'s National Provider Identifier is 1720282924, issued on Jun 12, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in New York, NY. The record was last updated on Sep 11, 2025.