Provider Demographics
NPI:1356387401
Name:METROPOLITAN CARDIOLOGY CONSULTANTS, LLC
Entity type:Organization
Organization Name:METROPOLITAN CARDIOLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:HIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-368-0330
Mailing Address - Street 1:257 LAFAYETTE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4830
Mailing Address - Country:US
Mailing Address - Phone:845-368-0330
Mailing Address - Fax:845-368-8143
Practice Address - Street 1:257 LAFAYETTE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4830
Practice Address - Country:US
Practice Address - Phone:845-368-0330
Practice Address - Fax:845-368-8143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWX0822Medicare ID - Type Unspecified
NYWX0821Medicare ID - Type Unspecified
NJ012306Medicare ID - Type Unspecified