Basic Information
| Provider Information | |||||||||
| NPI: | 1821160623 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CARDIO CALL INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 NORTHWOOD BLVD | ||||||||
| Address2: | |||||||||
| City: | CENTRAL ISLIP | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117224667 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6313428341 | ||||||||
| FaxNumber: | 6313428341 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 NORTHWOOD BLVD | ||||||||
| Address2: | |||||||||
| City: | CENTRAL ISLIP | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117224667 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6313428341 | ||||||||
| FaxNumber: | 6313428341 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2006 | ||||||||
| LastUpdateDate: | 05/01/2009 | ||||||||
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| AuthorizedOfficialLastName: | ANZALONE | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6313428341 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 293D00000X | Y | Laboratories | Physiological Laboratory |
No ID Information.