Provider Demographics
NPI:1821449752
Name:CARDIOVASCULAR CARE NYC PC
Entity Type:Organization
Organization Name:CARDIOVASCULAR CARE NYC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBASISH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYCHOUDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-672-5927
Mailing Address - Street 1:8708 JUSTICE AVE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4575
Mailing Address - Country:US
Mailing Address - Phone:718-672-5927
Mailing Address - Fax:718-672-6401
Practice Address - Street 1:8708 JUSTICE AVE
Practice Address - Street 2:SUITE 1C
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4575
Practice Address - Country:US
Practice Address - Phone:718-672-5927
Practice Address - Fax:718-672-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200721-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty