Organization
STATEN ISLAND HEART IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMSHED IQBAL WYNE MD (PRESIDENT CEO)
(718) 351-0500
Entity
Organization
Contact information
Practice address
2248 RICHMOND ROAD, STATEN ISLAND, NY 10306
(718) 351-0500
(718) 980-3666
Mailing address
2248 RICHMOND ROAD, STATEN ISLAND, NY 10306
(718) 351-0500
(718) 980-3666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205370
NY
207RC0000X
Cardiovascular Disease Physician
144419
NY
207RC0000X
Cardiovascular Disease Physician
Primary
172463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01714378
—
NY
Enumeration date
11/28/2006
Last updated
09/11/2025
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