Dyckman Medical Services Pc | |
257-10 Union Turnkpike Floral Park NY 11004 | |
(646) 428-4270 | |
Not Available |
Full Name | Dyckman Medical Services Pc |
---|---|
Speciality | Family Medicine |
Location | 257-10 Union Turnkpike, Floral Park, New York |
Authorized Official Name and Position | Ilya Smuglin (OWNER) |
Authorized Official Contact | 6464284270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dyckman Medical Services Pc 257-10 Union Turnkpike Floral Park NY 11004 Ph: (646) 428-4270 | Dyckman Medical Services Pc 257-10 Union Turnkpike Floral Park NY 11004 Ph: (646) 428-4270 |
NPI Number | 1497029375 |
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Provider Enumeration Date | 02/24/2012 |
Last Update Date | 02/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497029375 | NPI | - | NPPES |
221943 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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