Organization · Type 2 NPI
Integrated Medical Diagnostic Services, P.c.
Cardiovascular Disease Physician · Commack, NY
NPI number
1740527993
Active
Practice location
2171 Jericho Tpke, Suite 100
Commack, NY 11725-2937
Fax (877) 922-3329
Mailing address
PO Box 13023
Hauppauge, NY 11788-0535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 180648-1 (NY) |
| Neuroradiology Physician | 2085N0700X | None listed |
| Nuclear Radiology Physician | 2085N0904X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
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.
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About NPI 1740527993
Integrated Medical Diagnostic Services, P.c.'s National Provider Identifier is 1740527993, issued on Jan 8, 2013. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Commack, NY. The record was last updated on Aug 24, 2015.