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Organization

HEARTCARE MEDICAL GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. EVA LOUDAROS (SERVICE REPRESENTATIVE)
(718) 204-0414
Entity
Organization

Contact information

Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1231
Mailing address
1303 209TH ST, BAYSIDE, NY 11360-1123
(718) 279-4300
(718) 204-7470

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
152102
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00194954
NY
05
00971857
NY
01
109798
DR. ARORA LICENSE #
NY
01
152102
DR. MORDEN LICENSE#
NY
Enumeration date
02/21/2007
Last updated
08/22/2020
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