Provider Demographics
NPI:1518193119
Name:COMPREHENSIVE CARDIAC SERVICES OF NY,PC
Entity Type:Organization
Organization Name:COMPREHENSIVE CARDIAC SERVICES OF NY,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-239-7093
Mailing Address - Street 1:833 57TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3617
Mailing Address - Country:US
Mailing Address - Phone:516-239-7093
Mailing Address - Fax:516-239-7193
Practice Address - Street 1:833 57TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3617
Practice Address - Country:US
Practice Address - Phone:516-239-7093
Practice Address - Fax:516-239-7193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233815174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY600P01Medicare PIN