Organization
QUEENS DIAGNOSTIC & PREVENTIVE CARDIAC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIU KUMAR DUBE MD (PRESIDENT)
(718) 359-5901
Entity
Organization
Contact information
Practice address
157-08 45TH AVENUE, FLUSHING, NY 11355
(718) 359-5901
(718) 939-2022
Mailing address
157-08 45TH AVENUE, FLUSHING, NY 11355
(718) 359-5901
(718) 939-2022
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
114420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00207462
—
NY
Enumeration date
05/04/2007
Last updated
08/22/2020
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