Provider Demographics
NPI:1740223353
Name:CESARE SAPONIERI, MD, FACC, PLLC
Entity Type:Organization
Organization Name:CESARE SAPONIERI, MD, FACC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CESARE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPONIERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-366-0390
Mailing Address - Street 1:128 MALVERNE AVE
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1442
Mailing Address - Country:US
Mailing Address - Phone:631-366-0390
Mailing Address - Fax:631-366-0391
Practice Address - Street 1:208 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3858
Practice Address - Country:US
Practice Address - Phone:631-366-0390
Practice Address - Fax:631-366-0391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230517207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY547P01Medicare PIN
NYI02243Medicare UPIN