Provider Demographics
NPI:1720184211
Name:HEARTWISE CARDIOLOGY PLLC
Entity Type:Organization
Organization Name:HEARTWISE CARDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYMONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTEGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-679-4488
Mailing Address - Street 1:148 E 38TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2607
Mailing Address - Country:US
Mailing Address - Phone:212-679-4488
Mailing Address - Fax:212-684-4841
Practice Address - Street 1:148 E 38TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2607
Practice Address - Country:US
Practice Address - Phone:212-679-4488
Practice Address - Fax:212-684-4841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty