| Correctional Medical Associates Of Newyork, P.c. | |
|
4904 19th Ave Astoria NY 11105-1002 | |
| (347) 774-7015 | |
| (347) 774-8051 |
| Full Name | Correctional Medical Associates Of Newyork, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4904 19th Ave, Astoria, New York |
| Authorized Official Name and Position | Jay Cowan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3477747015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Correctional Medical Associates Of Newyork, P.c. 4904 19th Ave Astoria NY 11105-1002 Ph: (347) 774-7015 | Correctional Medical Associates Of Newyork, P.c. 4904 19th Ave Astoria NY 11105-1002 Ph: (347) 774-7015 |
| NPI Number | 1669817938 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669817938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 333600000X | Pharmacy | (* (Not Available)) | Secondary |
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