Individual
DR. EMMANUEL NECTARIOS MOUSTAKAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, NEW YORK HOSPITAL QUEENS, CARDIAC CATH LAB, FLUSHING, NY 11355-5045
(718) 670-2516
(718) 445-7473
Mailing address
5645 MAIN ST, NEW YORK HOSPITAL QUEENS, CARDIAC CATH LAB, FLUSHING, NY 11355-5045
(718) 670-2516
(718) 445-7473
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
230890
NY
207RI0011X
Interventional Cardiology Physician
Primary
230890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03111566
—
NY
Enumeration date
07/09/2008
Last updated
03/14/2023
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