Kelly Marie Axsom
Advanced Heart Failure and Transplant Cardiologist
622 W 168th St
New York
, New York 10032
Kelly Marie Axsom
Advanced Heart Failure and Transplant Cardiologist
622 W 168th St
New York
, New York 10032
(646) 317-2268
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
Languages spoken
- English
Location
First Address
- Kelly Marie Axsom
- 630 W 168th St Box 4
- New York, NY
- Zip : 10032-3725
- Phone : (646) 317-2268
Second Address
- Kelly Marie Axsom
- 622 W 168th St
- New York, NY
- Zip : 10032
- Phone : (646) 317-2268
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 258685 | NY |
National Provider Identifier
| NPI | 1841459997 |
|---|---|
| Provider Name | Kelly Marie Axsom |
| First Address | New York, NY 10032-3725 |
| Second Address | New York, NY 10032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2008 |
| Last Update Date | 19/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.