Provider Demographics
NPI:1174726855
Name:CARDIOLOGY UNLIMITED PC
Entity type:Organization
Organization Name:CARDIOLOGY UNLIMITED PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-562-6570
Mailing Address - Street 1:PO BOX 149
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530
Mailing Address - Country:US
Mailing Address - Phone:718-562-6570
Mailing Address - Fax:718-364-5313
Practice Address - Street 1:3131 GRAND CONCOURSE
Practice Address - Street 2:SUITE 1B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-1442
Practice Address - Country:US
Practice Address - Phone:718-295-7900
Practice Address - Fax:718-295-4160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161145207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00947860Medicaid
NY161145OtherLICENSE
NY2285021OtherECFMG
NY2285021OtherECFMG
NYAG3079250OtherDEA
NYB18668Medicare UPIN