Individual provider · Type 1 NPI
Jose M. Poulose, MD
Cardiovascular Disease Physician · Williston Park, NY
NPI number
1104905058
Active
Practice location
99 Hillside Ave Ste D
Williston Park, NY 11596-2306
Fax (516) 739-4870
Mailing address
150 Lincoln Ave
Mineola, NY 11501-2541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 225615 (NY) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Other cardiovascular disease physician providers in Williston Park
About NPI 1104905058
Jose M. Poulose, MD's National Provider Identifier is 1104905058, issued on Nov 3, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Williston Park, NY. The record was last updated on Jul 8, 2007.