Organization
ROOSEVELT CARDIO VASCULAR DIAGNOSTIC, P.C.
Active
Organization
ROOSEVELT CARDIO VASCULAR DIAGNOSTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC RYBSTEIN M.D., (MEDICAL DIRECTOR)
(718) 942-9355
Entity
Organization
Contact information
Practice address
37-51 A 90TH ST, JACKSON HEIGHTS, NY 11372-7936
(718) 942-9355
(718) 285-0399
Mailing address
3751 90TH ST # A, JACKSON HEIGHTS, NY 11372-7829
(718) 942-9355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2532881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2532881
LICENSE
NY
Enumeration date
05/20/2016
Last updated
04/24/2018
Update your record
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