Organization
CARDINAL NY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARCHIL ARJEVANIDZE (DIRECTOR)
(347) 220-1152
Entity
Organization
Contact information
Practice address
8808 ROCKAWAY BEACH BLVD UNIT 209, ROCKAWAY BCH, NY 11693-1608
(917) 254-0600
Mailing address
8808 ROCKAWAY BEACH BLVD UNIT 209, ROCKAWAY BCH, NY 11693-1608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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