Provider Demographics
NPI:1750651436
Name:NEW YORK CARDIOVASCULAR SURGICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:NEW YORK CARDIOVASCULAR SURGICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:ANASTASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-696-9183
Mailing Address - Street 1:5 TUDOR CITY PLACE
Mailing Address - Street 2:SUITE 712
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6864
Mailing Address - Country:US
Mailing Address - Phone:814-696-9183
Mailing Address - Fax:
Practice Address - Street 1:20 EAST 46 STREET
Practice Address - Street 2:SUITE 501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-9284
Practice Address - Country:US
Practice Address - Phone:814-696-9183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146593208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty