Provider Demographics
NPI:1710072053
Name:ACCESS CARDIAC IMAGING, PC
Entity Type:Organization
Organization Name:ACCESS CARDIAC IMAGING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAN-NING
Authorized Official - Middle Name:STEVE
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-509-6855
Mailing Address - Street 1:268 SCHENCK AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3943
Mailing Address - Country:US
Mailing Address - Phone:718-766-9311
Mailing Address - Fax:718-233-4099
Practice Address - Street 1:268 SCHENCK AVE
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3943
Practice Address - Country:US
Practice Address - Phone:718-766-9311
Practice Address - Fax:718-233-4099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203366207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07630Medicare ID - Type UnspecifiedGHI MEDICARE