Provider Demographics
NPI:1942294707
Name:PRIMARY CARDIOLOGY PC
Entity Type:Organization
Organization Name:PRIMARY CARDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:BESSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACC
Authorized Official - Phone:718-442-1777
Mailing Address - Street 1:11 RALPH PL
Mailing Address - Street 2:SUITE 310
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-4419
Mailing Address - Country:US
Mailing Address - Phone:718-442-1777
Mailing Address - Fax:718-448-5260
Practice Address - Street 1:11 RALPH PL
Practice Address - Street 2:SUITE 310
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-4419
Practice Address - Country:US
Practice Address - Phone:718-442-1777
Practice Address - Fax:718-448-5260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty