# ROOSEVELT CARDIOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891872610
- **Authorized official:** DR. SUNGWAI CHIU M.D. (SHAREHOLDER)
- **Authorized official phone:** (718) 888-1656

## Contact information

- **Practice address:** 3660 MAIN ST, SUITE 2S, FLUSHING, NY 11354-6507
- **Practice address phone:** (718) 888-1656
- **Practice address fax:** (718) 886-2336
- **Mailing address:** 3660 MAIN ST, SUITE 2S, FLUSHING, NY 11354-6559
- **Mailing address phone:** (718) 888-1656
- **Mailing address fax:** (718) 886-2336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 201269 | NY | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/07/2012