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DR. JOSE M POULOSE M.D
NPI 1104905058
Internal Medicine - Cardiovascular Disease in Williston Park, NY

Active since November 03, 2006
99 HILLSIDE AVE STE D, WILLISTON PARK, NY 11596(516) 739-2930(516) 739-4870 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jose M Poulose M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE M POULOSE M.D (NPI 1104905058) is an individual cardiovascular disease provider in Williston Park, New York, licensed in New York (225615) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104905058
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOSE M POULOSECredential: M.D
Location Address99 HILLSIDE AVE STE DWilliston Park, NY 11596-2306
Mailing Address150 Lincoln AveMineola, NY 11501-2541 · (516) 739-3909
Phone(516) 739-2930
Fax(516) 739-4870
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104905058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 225615
Definition
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.
99 HILLSIDE AVE STE D, Williston Park, NY 11596
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Poulose's NPI number?

The NPI number for Jose Poulose is 1104905058. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Jose Poulose located?

Jose Poulose practices at 99 Hillside Ave Ste D, Williston Park, NY 11596. The listed phone number is (516) 739-2930.

What is Jose Poulose's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Jose Poulose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.