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General NPI Number Information
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NPI Number | 1073859203
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Entity Type | Organization
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Legal Business Name | NY CARDIO CARE PLLC
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Dates
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Enumeration Date | 12/16/2012
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1112 SOUTH AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314
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Country | US
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Telephone | 718-761-8800
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Fax | 718-761-8804
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Provider Business Mailing Address
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Address Line | 1112 SOUTH AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314
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Country | US
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Telephone | 718-761-8800
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Fax | 718-761-8804
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. MOHAMMAD H ZGHEIB
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Credential | MD
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Telephone | 718-761-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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