Organization Name: | GRAMERCY CARDIAC DIAGNOSTIC SERVICES, P.C. |
NPI Number: | 1053588657 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN LABARBERA (ADMINISTRATOR) |
Mailing Address: | 3706 82nd St 2nd Floor Jackson Heights |
State: | NY US |
Postal Code: | 113727017 |
Phone Number: | 7182058066 |
Fax Number: | 7182058065 |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | 60-144465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |