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
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