Provider Demographics
NPI:1467052159
Name:PREVENTIVE CARDIOLOGY OF NEW YORK P.C.
Entity Type:Organization
Organization Name:PREVENTIVE CARDIOLOGY OF NEW YORK P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-283-8648
Mailing Address - Street 1:1335 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5655
Mailing Address - Country:US
Mailing Address - Phone:718-375-1600
Mailing Address - Fax:718-375-3408
Practice Address - Street 1:1335 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5655
Practice Address - Country:US
Practice Address - Phone:718-375-1600
Practice Address - Fax:718-375-3408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty