Completecare Cardiology Pllc

LBN: Completecare Cardiology Pllc
Completecare Cardiology Pllc is an health care organization with primary practice located at 2001 Marcus Ave Suite W285, Lake Success NY 11042. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Completecare Cardiology Pllc can be contacted via phone (516) 775-0055, or through Kiewe, Randy Paul via phone (516) 775-0055.

Contact Information

Primary practice address
2001 Marcus Ave Suite W285 Lake Success NY 11042
Phone: (516) 775-0055
Fax: (516) 775-4647
Website:
Map and Directions
Authorized official contact:
Name: Kiewe, Randy Paul Doctor of Medicine (MD)
Phone: (516) 775-0055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1164530309
LBN Legal business name Completecare Cardiology Pllc
DBA Doing business as
Authorized official Kiewe, Randy Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Feb 21st, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164530309 NPPES
New York Other 349AX EMPIRE BLUE CROSS BLUE SHIELD

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