Long Island Cardiovascular Medical Assoicates, Pc

LBN: Long Island Cardiovascular Medical Assoicates, Pc
Long Island Cardiovascular Medical Assoicates, Pc is an health care organization with primary practice located at 1630 Deer Park Ave , Deer Park NY 11729-5210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Long Island Cardiovascular Medical Assoicates, Pc can be contacted via phone (631) 242-6166, or through Sokol, Jerry A. via phone (631) 242-6166.

Contact Information

Primary practice address
1630 Deer Park Ave Deer Park NY 11729-5210
Phone: (631) 242-6166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sokol, Jerry A. Doctor of Medicine (MD)
Phone: (631) 242-6166

Health care specialties

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

Profile Details

NPI number 1356440929
LBN Legal business name Long Island Cardiovascular Medical Assoicates, Pc
DBA Doing business as
Authorized official Sokol, Jerry A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 16th, 2008 - about 16 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 1356440929 NPPES
New York MEDICAID 01813547

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