| 96th Street Junction Blvd Medical Pc | |
|
5548 96th St Corona NY 11368 | |
| (718) 606-1199 | |
| Not Available |
| Full Name | 96th Street Junction Blvd Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5548 96th St, Corona, New York |
| Authorized Official Name and Position | Wilder Rucker (OWNER) |
| Authorized Official Contact | 7186061199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 96th Street Junction Blvd Medical Pc 5548 96th St Corona NY 11368-3009 Ph: () - | 96th Street Junction Blvd Medical Pc 5548 96th St Corona NY 11368 Ph: (718) 606-1199 |
| NPI Number | 1588157788 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588157788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
First Aid Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10005 Roosevelt Ave, Suite 203, Corona, NY 11368 Phone: 718-803-6430 Fax: 718-803-6440 | |
Sop Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10211 Roosevelt Ave Ste 4, Corona, NY 11368 Phone: 718-898-1386 Fax: 718-898-1093 | |
Liu Hank Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10917 46th Ave, Corona, NY 11368 Phone: 718-271-7409 Fax: 718-271-7414 | |
Centro Medico Perez Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10324 Roosevelt Ave Ste 306, Corona, NY 11368 Phone: 347-201-4567 | |
Nyc Care Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3806 Junction Blvd Fl 1, Corona, NY 11368 Phone: 718-446-5681 | |
Corona Medical Testing Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 102nd St, Corona, NY 11368 Phone: 253-736-2818 Fax: 253-939-2376 | |
Corona Ing Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3719 108th St, Corona, NY 11368 Phone: 718-406-9032 Fax: 917-745-1561 |