Maspeth Roura Medical Care Pc | |
7215 Grand Ave Unit A Maspeth NY 11378-1525 | |
(718) 507-2077 | |
Not Available |
Full Name | Maspeth Roura Medical Care Pc |
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Speciality | Internal Medicine |
Location | 7215 Grand Ave Unit A, Maspeth, New York |
Authorized Official Name and Position | Jose Luis Martinez-roura (MEDICAL DIRECTOR) |
Authorized Official Contact | 7185072077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maspeth Roura Medical Care Pc 7215 Grand Ave Unit A Maspeth NY 11378-1525 Ph: (718) 507-2077 | Maspeth Roura Medical Care Pc 7215 Grand Ave Unit A Maspeth NY 11378-1525 Ph: (718) 507-2077 |
NPI Number | 1588851745 |
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Provider Enumeration Date | 10/01/2007 |
Last Update Date | 10/01/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588851745 | NPI | - | NPPES |
180117 | Other | NY | LISCENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 180117 (New York) | Primary |
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