Provider Demographics
NPI:1932253739
Name:RSC CARDIOLOGY SERVICES, PLLC
Entity Type:Organization
Organization Name:RSC CARDIOLOGY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-466-8900
Mailing Address - Street 1:1000 NORTHERN BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5312
Mailing Address - Country:US
Mailing Address - Phone:516-466-8900
Mailing Address - Fax:516-482-1808
Practice Address - Street 1:1000 NORTHERN BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5312
Practice Address - Country:US
Practice Address - Phone:516-466-8900
Practice Address - Fax:516-482-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127517207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1518956903OtherNPI ROBBINS
NYA1000008013OtherMEDICARE PTAN STECHEL
NYA400008018OtherMEDICARE PTAN ROBBINS
1164411575OtherNPI CUNNINGHAM
NYA400008003OtherMEDICARE PTAN AUERBACH
1053300459OtherNPI STECHEL
NY1669644761OtherNPI - AUERBACH
NYA100000870OtherMEDICARE PTAN GROUP
NYA400008011OtherMEDICARE PTAN CUNNINGHAM