Provider Demographics
NPI:1710381546
Name:CARDIOLOGY A2Z PLLC
Entity Type:Organization
Organization Name:CARDIOLOGY A2Z PLLC
Other - Org Name:CORAZON EN FORMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTTIECH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-494-7337
Mailing Address - Street 1:4 ANDOVER CT
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1558
Mailing Address - Country:US
Mailing Address - Phone:917-453-0744
Mailing Address - Fax:
Practice Address - Street 1:601 W 177TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-7152
Practice Address - Country:US
Practice Address - Phone:917-453-0744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty