Provider Demographics
NPI:1811180714
Name:ADVANCED CARDIOLOGY ASSOCIATES, LLC
Entity type:Organization
Organization Name:ADVANCED CARDIOLOGY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STRUHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-496-4141
Mailing Address - Street 1:175 JERICHO TPKE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4532
Mailing Address - Country:US
Mailing Address - Phone:516-496-4141
Mailing Address - Fax:516-496-4393
Practice Address - Street 1:175 JERICHO TPKE
Practice Address - Street 2:SUITE 204
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4532
Practice Address - Country:US
Practice Address - Phone:516-496-4141
Practice Address - Fax:516-496-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty