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Organization
CITY MEDICAL VASCULAR
Active
Organization
CITY MEDICAL VASCULAR
Active
Other names
N
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSTAFA ELSHESHTAWY MD (OWNER)
(347) 675-5544
Entity
Organization
Contact information
Practice address
2116 AVENUE P, BROOKLYN, NY 11229-1507
(718) 769-4988
Mailing address
2116 AVENUE P, BROOKLYN, NY 11229-1507
(718) 769-4988
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/09/2022
Last updated
11/19/2025
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