Provider Demographics
NPI:1821285107
Name:VILLAGE CARDIOLOGY PLLC
Entity Type:Organization
Organization Name:VILLAGE CARDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-604-7880
Mailing Address - Street 1:PO BOX 30739 GENERAL POST OFFICE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-0739
Mailing Address - Country:US
Mailing Address - Phone:610-401-2046
Mailing Address - Fax:610-401-2100
Practice Address - Street 1:154 W 14TH ST
Practice Address - Street 2:4TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7307
Practice Address - Country:US
Practice Address - Phone:212-604-7880
Practice Address - Fax:212-604-3389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty