Source Cardiology
Source Cardiology provides Cardiovascular Disease Physician services in Bronx, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
953 Southern Blvd Ste 202Bronx, NY 10459-3428 Not confirmed with CMS for 14 years — call before visiting
Phone: (646) 355-4863
Fax: (917) 688-1502
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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 · Licence 243823 (NY) |
|---|
Record details
| NPI number | 1346591278 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Madhavi Kadiyala — Cardiologist · (646) 355-4863 |
| NPI enumerated | October 2, 2012 |
| Last updated in NPPES | October 2, 2012 |
| Mailing address | 953 Southern Blvd, Suite 202, Bronx, NY 10459-3428 |
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