1st Med And Diagnostic Services | |
4029a 235th St Douglaston NY 11363-1509 | |
(516) 620-4246 | |
(516) 620-6807 |
Full Name | 1st Med And Diagnostic Services |
---|---|
Speciality | Internal Medicine |
Location | 4029a 235th St, Douglaston, New York |
Authorized Official Name and Position | Avram Shapiro (ADMINISTRATOR) |
Authorized Official Contact | 5166204246 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1st Med And Diagnostic Services 4029a 235th St Douglaston NY 11363-1509 Ph: () - | 1st Med And Diagnostic Services 4029a 235th St Douglaston NY 11363-1509 Ph: (516) 620-4246 |
NPI Number | 1205158870 |
---|---|
Provider Enumeration Date | 02/23/2010 |
Last Update Date | 02/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205158870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 196473 (New York) | Primary |