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NPI Code Detail

MEDICARE: COMPLETE CARDIOVASCULAR CARE PC

MEDICARE: COMPLETE CARDIOVASCULAR CARE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal Medicine

General Provider Information

NPI Number : 1639344609
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE CARDIOVASCULAR CARE PC
Provider Business Mailing Address
First Line : 7803 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-3701
Country : US
Telephone Number : 718-491-4949
Fax Number : 718-491-4929
Provider Business Practice Location Address
First Line : 7803 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-3701
Country : US
Telephone Number : 718-491-4949
Fax Number : 718-491-4929
Authorized Official
Title or Position : EXECUTIVE
Name : DR. SPYROS P KOKOLIS
Credential : MD
Telephone Number : 718-491-4949
Provider Enumeration Date : 04/29/2008
Last Update Date : 04/29/2010

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Directions to “COMPLETE CARDIOVASCULAR CARE PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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