Provider Demographics
NPI:1740418433
Name:HEART CARE OF NEW YORK, PC
Entity Type:Organization
Organization Name:HEART CARE OF NEW YORK, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VASUNDHARA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIDYARTHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-847-5158
Mailing Address - Street 1:22 PINE DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2838
Mailing Address - Country:US
Mailing Address - Phone:847-840-5158
Mailing Address - Fax:
Practice Address - Street 1:22 PINE DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2838
Practice Address - Country:US
Practice Address - Phone:516-365-2046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257109207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty