Organization
QUEENS HEART CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL LOPEZ (MD)
(718) 464-5225
Entity
Organization
Contact information
Practice address
9033 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11428-1352
(718) 464-5225
Mailing address
11 IRENE LN N, PLAINVIEW, NY 11803-1913
(718) 464-5225
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
213205
NY
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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