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Organization
JACKSON HEIGHTS LLC
Active
Organization
JACKSON HEIGHTS LLC
Active
Parent organization
BROADWAY CARDIOPULMONARY PC
Other names
WESTERN QUEENS HEALTH ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROADWAY CARDIOPULMONARY PC
Authorized official
BHUPENDRA R PATEL MD (PRESIDENT)
(718) 335-5800
Entity
Organization
Contact information
Practice address
8201 37TH AVE, JACKSON HEIGHTS, NY 11372-7011
(718) 335-5800
(718) 335-9237
Mailing address
3141 45TH ST, LONG ISLAND CITY, NY 11103-1621
(718) 721-1500
(718) 777-1623
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01873707
—
NY
Enumeration date
03/26/2007
Last updated
06/16/2008
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