Roosevelt Cardio Vascular Diagnostic, P.C.
Clinic/Center in Jackson Heights, NY. Organization (NPI-2).
NPI number1952758807
StatusActive
Last updated in NPPESApr 24, 2018
Details
- NPI
- 1952758807
- Entity type
- Organization (NPI-2)
- Legal business name
- Roosevelt Cardio Vascular Diagnostic, P.C.
- Organization subpart
- No
- Enumeration date
- May 20, 2016
- Last updated
- Apr 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 2532881 | NY | Yes |
Practice location
37-51 A 90th StJackson Heights, NY 11372-7936
Phone 718-942-9355 · Fax 718-285-0399
Mailing address
3751 90th St # AJackson Heights, NY 11372-7829
Phone 718-942-9355
Authorized official
Marc Rybstein
Medical Director
7189429355
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