Roosevelt Cardio Vascular Diagnostic, P.c. | |
37-51 A 90th St Jackson Heights NY 11372-7936 | |
(718) 942-9355 | |
(718) 285-0399 |
Full Name | Roosevelt Cardio Vascular Diagnostic, P.c. |
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Speciality | Clinic/Center |
Location | 37-51 A 90th St, Jackson Heights, New York |
Authorized Official Name and Position | Marc Rybstein (MEDICAL DIRECTOR) |
Authorized Official Contact | 7189429355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roosevelt Cardio Vascular Diagnostic, P.c. 3751 90th St # A Jackson Heights NY 11372-7829 Ph: (718) 942-9355 | Roosevelt Cardio Vascular Diagnostic, P.c. 37-51 A 90th St Jackson Heights NY 11372-7936 Ph: (718) 942-9355 |
NPI Number | 1952758807 |
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Provider Enumeration Date | 05/20/2016 |
Last Update Date | 04/24/2018 |
Medicare PECOS PAC ID | 1557645983 |
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Medicare Enrollment ID | O20170303001093 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952758807 | NPI | - | NPPES |
2532881 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 2532881 (New York) | Primary |
Provider Name | Marc K Rybstein |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1538393822 PECOS PAC ID: 4082768775 Enrollment ID: I20090819000150 |
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