Bethesda Cardiac Care

Organization Active NPI Specialist · Williston Park, NY

NPI 1073673679 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1073673679
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
BETHESDA CARDIAC CARE
Practice address
99 Hillside Ave
Suite D
Williston Park, NY 11596-2333
Phone
(516) 739-2930
Fax
(516) 739-4870
NPI assigned
Dec 12, 2006
Organization subpart
No

Authorized official

Name
Jose Poulose, MD
Title
MD
Phone
(516) 739-2930

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

99 Hillside Ave
Ste D
Williston Pk, NY 11596
Phone (516) 739-2930

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X Yes

Addresses

Primary practice location

99 Hillside Ave
Suite D
Williston Park, NY 11596-2333

Mailing address

99 Hillside Ave
Suite D
Williston Park, NY 11596-2333
Phone (516) 739-2930

Other providers in Williston Park, NY

All providers in Williston Park, NY · Specialist in New York

Sources for this page

Verify at the official NPI Registry.