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Organization

CARDIOVASCULAR ASSOCIATES OF BROOKLYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOUNIR DOSS (EXECUTIVE VICE PRESIDENT-CFO)
(718) 206-6291
Entity
Organization

Contact information

Practice address
1275 LINDEN BLVD, BROOKLYN, NY 11212-3120
(718) 240-5373
Mailing address
PO BOX 9459, UNIONDALE, NY 11555-9459
(631) 391-7896

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02072351
NY
Enumeration date
12/28/2007
Last updated
12/28/2007
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