Provider Demographics
NPI:1326243502
Name:HEART PHYSICIAN PC
Entity Type:Organization
Organization Name:HEART PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:SARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-567-7000
Mailing Address - Street 1:8 QUAKER LN
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11568-1320
Mailing Address - Country:US
Mailing Address - Phone:516-567-7000
Mailing Address - Fax:631-271-9155
Practice Address - Street 1:865 MERRICK RD
Practice Address - Street 2:STE 205
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3338
Practice Address - Country:US
Practice Address - Phone:516-567-7000
Practice Address - Fax:631-271-9155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185251174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF70829Medicare UPIN