| Community Internal Medicine Assoc, Pc | |
|
9777 Queens Blvd 9th Fl Ste 900 Rego Park NY 11374-3317 | |
| (212) 255-2333 | |
| Not Available |
| Full Name | Community Internal Medicine Assoc, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9777 Queens Blvd, Rego Park, New York |
| Authorized Official Name and Position | Marissa Santos (COOWNER) |
| Authorized Official Contact | 2122552333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Internal Medicine Assoc, Pc 9777 Queens Blvd 9th Fl Ste 900 Rego Park NY 11374-3317 Ph: () - | Community Internal Medicine Assoc, Pc 9777 Queens Blvd 9th Fl Ste 900 Rego Park NY 11374-3317 Ph: (212) 255-2333 |
| NPI Number | 1285759217 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285759217 | NPI | - | NPPES |
| 5816203 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 198043 (New York) | Primary |
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