Organization
CARDIOCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAZA AIVAZI M.D., (PRESIDENT)
(718) 440-6161
Entity
Organization
Contact information
Practice address
128 BEACH 115TH ST, ROCKAWAY PARK, NY 11694-2408
(718) 474-6400
Mailing address
777 ADDISON ST, WOODMERE, NY 11598-2937
(718) 440-6161
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
223734
NY
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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