Organization
CARDIOVASCULAR DIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HC GLICK M.D. (OWNER)
(917) 806-1748
Entity
Organization
Contact information
Practice address
8635 QUEENS BLVD, SUITE 2LM, ELMHURST, NY 11373-4434
(917) 806-1748
Mailing address
110 LAKE DR, NEW HYDE PARK, NY 11040-1137
(917) 806-1748
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
222108
NY
Other
Enumeration date
09/10/2012
Last updated
09/04/2013
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