Provider Demographics
NPI:1649291469
Name:UNIVERSITY CARDIOLOGY ASSOCIATES, PC.
Entity type:Organization
Organization Name:UNIVERSITY CARDIOLOGY ASSOCIATES, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENY
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-233-5308
Mailing Address - Street 1:170 WILLIAM ST
Mailing Address - Street 2:SUITE 818
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2612
Mailing Address - Country:US
Mailing Address - Phone:212-233-5308
Mailing Address - Fax:212-346-9267
Practice Address - Street 1:170 WILLIAM ST
Practice Address - Street 2:SUITE 818
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2612
Practice Address - Country:US
Practice Address - Phone:212-233-5308
Practice Address - Fax:212-346-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124857207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00400853Medicaid
NYA98114Medicare UPIN
NY05A64Medicare ID - Type Unspecified