is a Cardiovascular Disease in Cicero, New York. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for is 1184676355. The last update date is .
's current location address is 6221 State Route 31, Cicero, New York. You can contact this provider via phone number 3157520141 and fax number 3157520142. The mailing address for is 6221 State Route 31, Cicero, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 6221 State Route 31, Cicero, New York |
| Phone Number | 3157520141 |
| Fax Number | 3157520142 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1184676355 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 6221 State Route 31 |
|---|---|
| City | Cicero |
| State | New York (NY) |
| Post Code | 130398715 |
| Phone Number | 3157520141 |
| Fax Number | 3157520142 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
|
Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2130289 | NY | -- |
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