Provider Demographics
NPI:1225235518
Name:ST. FRANCIS CARDIAC PREVENTION, P.C.
Entity Type:Organization
Organization Name:ST. FRANCIS CARDIAC PREVENTION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-629-2081
Mailing Address - Street 1:PO BOX 1034
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1034
Mailing Address - Country:US
Mailing Address - Phone:516-629-2484
Mailing Address - Fax:516-629-2027
Practice Address - Street 1:1 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1203
Practice Address - Country:US
Practice Address - Phone:516-629-2484
Practice Address - Fax:516-629-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW8D351Medicare ID - Type Unspecified