Organization
CARDIOVASCULAR IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK MOHAMED MOUSA M.D (OWNER)
(718) 267-0510
Entity
Organization
Contact information
Practice address
3520 90TH ST, JACKSON HEIGHTS, NY 11372-5855
(718) 267-0510
(718) 267-8196
Mailing address
3520 90TH ST, JACKSON HEIGHTS, NY 11372-5855
(718) 267-0510
(718) 267-8196
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
259363-1
NY
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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