| Interboro Heart & Vascular Pllc | |
|
12508 Liberty Ave South Richmond Hill NY 11419-2234 | |
| (718) 581-8093 | |
| Not Available |
| Full Name | Interboro Heart & Vascular Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12508 Liberty Ave, South Richmond Hill, New York |
| Authorized Official Name and Position | Srinivas Kesanakurthy (PRESIDENT) |
| Authorized Official Contact | 7185818093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interboro Heart & Vascular Pllc 12508 Liberty Ave South Richmond Hill NY 11419-2234 Ph: (718) 581-8093 | Interboro Heart & Vascular Pllc 12508 Liberty Ave South Richmond Hill NY 11419-2234 Ph: (718) 581-8093 |
| NPI Number | 1609381458 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 11/13/2023 |
| Medicare PECOS PAC ID | 7810258555 |
|---|---|
| Medicare Enrollment ID | O20180221000852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609381458 | NPI | - | NPPES |
| 1770558397 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Srinivas Kesanakurthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770558397 PECOS PAC ID: 5890714356 Enrollment ID: I20051115000223 |
| Provider Name | Samir Garyali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679704605 PECOS PAC ID: 3072745751 Enrollment ID: I20140714001862 |
George Kandel ,optometry,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12015 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-843-2156 | |
Easy Care Pt Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12616 101st Ave, South Richmond Hill, NY 11419 Phone: 201-920-4076 | |
Prime Medical Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11808 101st Ave, South Richmond Hill, NY 11419 Phone: 718-441-0410 | |
Chennareddy Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10105 Lefferts Blvd Ste 203, South Richmond Hill, NY 11419 Phone: 718-441-8086 Fax: 718-250-6036 | |
Reginald Hughes, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10305 Lefferts Blvd, South Richmond Hill, NY 11419 Phone: 917-862-2864 Fax: 866-223-7072 | |
125 Liberty Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12507 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-845-8900 Fax: 718-845-0148 | |
Devicka Persaud Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11512 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-641-3389 |