Organization
BETHESDA CARDIAC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE POULOSE MD (MD)
(516) 739-2930
Entity
Organization
Contact information
Practice address
99 HILLSIDE AVE, SUITE D, WILLISTON PARK, NY 11596-2333
(516) 739-2930
(516) 739-4870
Mailing address
99 HILLSIDE AVE, SUITE D, WILLISTON PARK, NY 11596-2333
(516) 739-2930
(516) 739-4870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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