Provider Demographics
NPI:1093803892
Name:NEW YORK CARDIOLOGY GROUP, P.C.
Entity Type:Organization
Organization Name:NEW YORK CARDIOLOGY GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETROSSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-484-6777
Mailing Address - Street 1:1405 OLD NORTHERN BLVD
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2252
Mailing Address - Country:US
Mailing Address - Phone:516-484-6777
Mailing Address - Fax:516-484-0037
Practice Address - Street 1:1405 OLD NORTHERN BLVD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-2252
Practice Address - Country:US
Practice Address - Phone:516-484-6777
Practice Address - Fax:516-484-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty