# CITY MEDICAL VASCULAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548981350
- **Authorized official:** MOUSTAFA ELSHESHTAWY MD (OWNER)
- **Authorized official phone:** (347) 675-5544

## Contact information

- **Practice address:** 2116 AVENUE P, BROOKLYN, NY 11229-1507
- **Practice address phone:** (718) 769-4988
- **Mailing address:** 2116 AVENUE P, BROOKLYN, NY 11229-1507
- **Mailing address phone:** (718) 769-4988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2022
- **Last updated:** 11/19/2025