Fresh Meadows Medical Services Pllc | |
18904 Union Tpke Fresh Meadows NY 11366-1862 | |
(718) 217-1414 | |
Not Available |
Full Name | Fresh Meadows Medical Services Pllc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 18904 Union Tpke, Fresh Meadows, New York |
Authorized Official Name and Position | Alan Antonelli (OWNER) |
Authorized Official Contact | 7182171414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fresh Meadows Medical Services Pllc Po Box 270 Massapequa Park NY 11762-0270 Ph: (631) 264-2035 | Fresh Meadows Medical Services Pllc 18904 Union Tpke Fresh Meadows NY 11366-1862 Ph: (718) 217-1414 |
NPI Number | 1508314774 |
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Provider Enumeration Date | 09/16/2016 |
Last Update Date | 10/21/2016 |
Identifier | Type | State | Issuer |
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1508314774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (* (Not Available)) | Secondary |
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