Provider Demographics
NPI:1154098036
Name:HEART AND HEALTH MEDICAL PLLC
Entity Type:Organization
Organization Name:HEART AND HEALTH MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD MANAGING PARTNER.
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAVESTEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-643-4654
Mailing Address - Street 1:21 LEROY STREET
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746
Mailing Address - Country:US
Mailing Address - Phone:516-643-4654
Mailing Address - Fax:631-482-1356
Practice Address - Street 1:6175 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:MASSOPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758
Practice Address - Country:US
Practice Address - Phone:516-643-4654
Practice Address - Fax:631-482-1356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty