SHORE ROAD CARDIOLOGY ASSOCIATES, PC
Osteopathic Medicine at 55 St, Brooklyn, NY

License number
New York 16885
Category
Osteopathic Medicine
Type
Cardiovascular Disease
License number
New York 16885
Category
Osteopathic Medicine
Type
Clinical Cardiac Electrophysiology
License number
New York 16885
Category
Osteopathic Medicine
Type
Interventional Cardiology
Owner
Name: MR. GARY DELLACERRA V.P.
Title: VP MANAGED CARE & REVENUE COMPLIANC
Phone: (718) 630-7103
Address
Address
150 55Th St, Brooklyn, NY 11220
National Provider ID: 1790791457
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHORE ROAD CARDIOLOGY ASSOCIATES, PC

150 55 St, Brooklyn, NY 11220

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Merged Out
Registration:
Jan 26, 1984
Inactive since:
Dec 31, 2009
State ID:
890346
Business type:
Domestic Professional Corporation
Vice-Presidents:
Antoine Fernaine, 150 55 St, Brooklyn, NY 11220 (Physical),Gary Dellacerra (Vice-President)

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