Provider Demographics
NPI:1154863876
Name:THROGS NECK CARDIOLOGY PC
Entity Type:Organization
Organization Name:THROGS NECK CARDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:LORRANINE
Authorized Official - Last Name:VEZZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-964-6161
Mailing Address - Street 1:3594 E TREMONT AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3594 E TREMONT AVE
Practice Address - Street 2:STE 100
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2032
Practice Address - Country:US
Practice Address - Phone:718-534-0689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-11
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty