Provider Demographics
NPI:1447559380
Name:ATRIA HEART & VASCULAR PC
Entity Type:Organization
Organization Name:ATRIA HEART & VASCULAR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKAS
Authorized Official - Middle Name:
Authorized Official - Last Name:JINDAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-765-8259
Mailing Address - Street 1:1323 ROUTE 9
Mailing Address - Street 2:SUITE 206 - 207
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590
Mailing Address - Country:US
Mailing Address - Phone:845-765-8259
Mailing Address - Fax:845-765-8260
Practice Address - Street 1:1323 ROUTE 9
Practice Address - Street 2:SUITE 206 - 207
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590
Practice Address - Country:US
Practice Address - Phone:845-765-8259
Practice Address - Fax:845-765-8260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYIA0797Medicare UPIN