Organization · Type 2 NPI

Main Street Medical, PC

Cardiovascular Disease Physician · Flushing, NY

NPI number 1306812003 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

PO Box 27842
New York, NY 10087-7842

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Neurology Physician 2084N0400XNone listed

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.

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About NPI 1306812003

Main Street Medical, PC's National Provider Identifier is 1306812003, issued on Feb 23, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Flushing, NY. The record was last updated on Dec 22, 2010.