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Long Island Cardiovascular Group PC

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

NPI number1912912502
StatusActive
Last updated in NPPESJan 24, 2008

Details

NPI
1912912502
Entity type
Organization (NPI-2)
Legal business name
Long Island Cardiovascular Group PC
Organization subpart
No
Enumeration date
Jul 30, 2006
Last updated
Jan 24, 2008

Taxonomy and licenses

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

Practice location

123 Grove Ave
Suite 216
Cedarhurst, NY 11516

Phone 516-569-5200 · Fax 516-569-7403

Mailing address

123 Grove Ave
Suite 216
Cedarhurst, NY 11516

Phone 516-569-5200 · Fax 516-569-7403

Authorized official

David I Tarkoff
Physician Owner
5165695200

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