Organization
COMMUNITY CARDIOVASCULAR SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAFFAR RAZA MD (CO-DIRECTOR)
(917) 328-0752
Entity
Organization
Contact information
Practice address
117-44, 122ND STREET, SOUTH OZONE PARK, NY 11420
(347) 479-6111
Mailing address
101-20 LEFFERTS BLVD, RICHMOND HILL, NY 11419
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
244275
NY
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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