Provider Demographics
NPI:1821160623
Name:CARDIO CALL INC
Entity Type:Organization
Organization Name:CARDIO CALL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANZALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-342-8341
Mailing Address - Street 1:100 NORTHWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-4667
Mailing Address - Country:US
Mailing Address - Phone:631-342-8341
Mailing Address - Fax:631-342-8341
Practice Address - Street 1:100 NORTHWOOD BLVD
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-4667
Practice Address - Country:US
Practice Address - Phone:631-342-8341
Practice Address - Fax:631-342-8341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY97Z111Medicare ID - Type Unspecified