Organization
MOBILE CARDIO VASCULAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILSON (OWNER)
(914) 374-8731
Entity
Organization
Contact information
Practice address
25710 UNION TPKE, GLEN OAKS, NY 11004-1252
(718) 820-9365
Mailing address
171 SCENIC RD, MOHEGAN LAKE, NY 10547-1254
(914) 374-8731
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/21/2010
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