Shore Road Cardiology Associates, Pc

LBN: Shore Road Cardiology Associates, Pc
Shore Road Cardiology Associates, Pc is an health care organization with primary practice located at 150 55Th St , Brooklyn NY 11220-2559. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Shore Road Cardiology Associates, Pc can be contacted via phone (718) 630-7477, or through Dellacerra, Gary via phone (718) 630-7103.

Contact Information

Primary practice address
150 55Th St Brooklyn NY 11220-2559
Phone: (718) 630-7477
Fax: (718) 630-8515
Website:
Map and Directions
Authorized official contact:
Name: Dellacerra, Gary V.P.
Phone: (718) 630-7103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16885 New York
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 16885 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 16885 New York

Profile Details

NPI number 1790791457
LBN Legal business name Shore Road Cardiology Associates, Pc
DBA Doing business as
Authorized official Dellacerra, Gary V.P.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 8th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790791457 NPPES
New York MEDICAID 00820939

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