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Contact Information

ADVANCED CARDIAC MEDICINE PC
16215 HIGHLAND AVENUE
SUITE 1A
JAMAICA, NY11432
 Phone: 718-297-8398
 Fax: 718-297-0063
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED CARDIAC MEDICINE PC · (Female)

NPI Number 1609984913
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2006
Last updated 12/22/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 197800
  • NY Medicaid 01947819
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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