Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jose M Poulose, MD

Individual provider Cardiovascular Disease Physician · NPI 1104905058

Dr. Jose M Poulose, MD is a Cardiovascular Disease Physician in Williston Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

99 Hillside Ave Ste D
Williston Park, NY 11596-2306
Phone: (516) 739-2930
Fax: (516) 739-4870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 225615 (NY)

Record details

NPI number1104905058
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007

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