Provider Demographics
NPI:1144798596
Name:HEART SMART INC.
Entity Type:Organization
Organization Name:HEART SMART INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ECO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-676-3749
Mailing Address - Street 1:1160 E JERICHO TPKE STE 204
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-5405
Mailing Address - Country:US
Mailing Address - Phone:631-676-3749
Mailing Address - Fax:631-676-3778
Practice Address - Street 1:1160 E JERICHO TPKE STE 204
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-5405
Practice Address - Country:US
Practice Address - Phone:631-676-3749
Practice Address - Fax:631-676-3778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-04
Last Update Date:2018-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory