OrganizationActive
115 E 64th Street Medical, PLLC
NPI 1770208076 · Cardiovascular Disease Physician · New York, NY
Provider details
- NPI number
- 1770208076
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Shahriyar Rahmati, Cfo
Mailing address
115 E 64th St
New York, NY 10065-7071
Registry dates
- Enumerated
- 2022-10-10
- Last updated
- 2022-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.