Organization
CARDIOVASCULAR MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A GOODMAN M.D. (MEDICAL DIRECTOR)
(516) 222-8610
Entity
Organization
Contact information
Practice address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8610
(516) 745-5476
Mailing address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8610
(516) 745-5476
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
101625
NY
Other
Enumeration date
10/21/2010
Last updated
12/30/2010
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