Provider Demographics
NPI:1093241077
Name:BROOKLYN CARDIOVASCULAR CARE, PLLC
Entity Type:Organization
Organization Name:BROOKLYN CARDIOVASCULAR CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ELLIOT
Authorized Official - Last Name:LOEWINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-238-2980
Mailing Address - Street 1:9201 4TH AVE
Mailing Address - Street 2:501
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7065
Mailing Address - Country:US
Mailing Address - Phone:718-238-2980
Mailing Address - Fax:718-238-2558
Practice Address - Street 1:9201 4TH AVE
Practice Address - Street 2:501
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7065
Practice Address - Country:US
Practice Address - Phone:718-238-2980
Practice Address - Fax:718-238-2558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242457207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty