Healthcare Provider Details

I. General information

NPI: 1972701985
Provider Name (Legal Business Name): HIGH QUALITY CARDIOVASCULAR DIAGNOSTICS OF BROOKLYN, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 08/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9520 SEAVIEW AVE
BROOKLYN NY
11236-5466
US

IV. Provider business mailing address

9520 SEAVIEW AVE
BROOKLYN NY
11236-5466
US

V. Phone/Fax

Practice location:
  • Phone: 718-241-4474
  • Fax:
Mailing address:
  • Phone: 718-241-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number148235
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number148235
License Number StateNY

VIII. Authorized Official

Name: DR. KHALID KAMAL HASSAN
Title or Position: OWNER
Credential: M.D.
Phone: 718-241-4474