ROOSEVELT CARDIOLOGY PC NPI 1891872610

NPI Information

ROOSEVELT CARDIOLOGY PC is a medical specialty clinic center in Flushing, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ROOSEVELT CARDIOLOGY PC NPI is 1891872610. The provider is registered as an organization entity type.

The provider's business location address is:

3660 MAIN ST
SUITE 2S
FLUSHING, NY
ZIP 11354-507
Phone: (718) 888-1656
Fax: (718) 886-2336

The provider's authorized official is Sungwai Chiu .
The authorized official title is Shareholder and has the following contact phone number (718) 888-1656.

The CLIA number assigned to this NPI record is 33D1014782 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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