| 410 Medical, P.c | |
|
9050 Parsons Blvd Ste 410 Jamaica NY 11432-6052 | |
| (212) 470-0360 | |
| Not Available |
| Full Name | 410 Medical, P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 9050 Parsons Blvd Ste 410, Jamaica, New York |
| Authorized Official Name and Position | Steven Wong (OWNER) |
| Authorized Official Contact | 2124700360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 410 Medical, P.c 9050 Parsons Blvd Ste 410 Jamaica NY 11432-6052 Ph: (212) 470-0360 | 410 Medical, P.c 9050 Parsons Blvd Ste 410 Jamaica NY 11432-6052 Ph: (212) 470-0360 |
| NPI Number | 1245628262 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 12/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245628262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A188292-1 (New York) | Primary |
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