Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

115 E 64th Street Medical, PLLC

Organization Cardiovascular Disease Physician · NPI 1770208076

115 E 64th Street Medical, PLLC is a Cardiovascular Disease Physician in New York, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 E 64th St
New York, NY 10065-7071
Phone: (415) 999-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1770208076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahriyar Rahmati — Cfo · (561) 313-9399
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 8, 2022
Mailing address115 E 64th St, New York, NY 10065-7071

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