Basic Information
| Provider Information | |||||||||
| NPI: | 1871981589 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEART AND ARRHYTHMIA CARE OF NEW YORK PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13630 MAPLE AVE STE 1G | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183003368 | ||||||||
| FaxNumber: | 7188887836 | ||||||||
| Practice Location | |||||||||
| Address1: | 13630 MAPLE AVE STE 1G | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183003368 | ||||||||
| FaxNumber: | 7188887836 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2015 | ||||||||
| LastUpdateDate: | 01/19/2017 | ||||||||
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| AuthorizedOfficialLastName: | JUANG | ||||||||
| AuthorizedOfficialFirstName: | GEORGE | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR-OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5162866576 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0001X | 206004 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology |
No ID Information.