| NPI | 1982921490 |
|---|---|
| Doing Business As | PROVIDENCE ST VINCENT HEART CLINICS CARDIOLOGY ASTORIA |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb S 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2021-04-16 |