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Cardiology Associates At Lich

Internal Medicine, Cardiovascular Disease in Brooklyn, NY. Organization (NPI-2).

NPI number1265488019
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1265488019
Entity type
Organization (NPI-2)
Legal business name
Cardiology Associates At Lich
Organization subpart
No
Enumeration date
May 25, 2006
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease––Yes

Practice location

339 Hicks St
Brooklyn, NY 11201-5509

Phone 718-780-1881

Mailing address

160 Water St
20 Floor
New York, NY 10038-4922

Phone 212-256-3682 · Fax 212-256-3538

Authorized official

Balendu Vasavada
Managing Employee
2122563682

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Cardiovascular Disease Physician providers in Brooklyn, NY

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