| Haven Medical P.c. | |
|
9311 91st Ave Woodhaven NY 11421-2745 | |
| (516) 385-1525 | |
| (516) 385-1519 |
| Full Name | Haven Medical P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9311 91st Ave, Woodhaven, New York |
| Authorized Official Name and Position | Morton Aizic (PRESIDENT) |
| Authorized Official Contact | 5163851525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Medical P.c. 9311 91st Ave Woodhaven NY 11421-2745 Ph: (516) 385-1525 | Haven Medical P.c. 9311 91st Ave Woodhaven NY 11421-2745 Ph: (516) 385-1525 |
| NPI Number | 1245483429 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245483429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 085638-1 (New York) | Primary |
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