Provider Demographics
NPI:1760071898
Name:NYVC & CO LLC
Entity type:Organization
Organization Name:NYVC & CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGY / CARDIOVASCULAR
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVARRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-388-3204
Mailing Address - Street 1:2 BENNETT AVE
Mailing Address - Street 2:MEZZANINE FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-2148
Mailing Address - Country:US
Mailing Address - Phone:917-388-3204
Mailing Address - Fax:917-732-7744
Practice Address - Street 1:2 BENNETT AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-2148
Practice Address - Country:US
Practice Address - Phone:917-388-3214
Practice Address - Fax:917-732-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04527419Medicaid