Provider Demographics
NPI:1073859203
Name:NY CARDIO CARE PLLC
Entity Type:Organization
Organization Name:NY CARDIO CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZGHEIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-938-7574
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0016
Mailing Address - Country:US
Mailing Address - Phone:718-938-7574
Mailing Address - Fax:718-980-9499
Practice Address - Street 1:1112 SOUTH AVE STE A
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3410
Practice Address - Country:US
Practice Address - Phone:718-938-7574
Practice Address - Fax:718-908-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-16
Last Update Date:2012-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty