Medea Medical Pc | |
6829 Springfield Blvd Oakland Gdns NY 11364-2632 | |
(718) 225-3001 | |
(718) 225-3002 |
Full Name | Medea Medical Pc |
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Speciality | Family Medicine - Adolescent Medicine |
Location | 6829 Springfield Blvd, Oakland Gdns, New York |
Authorized Official Name and Position | Omari Chubinidze (MEDICAL DIRECTOR) |
Authorized Official Contact | 7182253001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medea Medical Pc 6829 Springfield Blvd Oakland Gdns NY 11364-2632 Ph: (718) 225-3001 | Medea Medical Pc 6829 Springfield Blvd Oakland Gdns NY 11364-2632 Ph: (718) 225-3001 |
NPI Number | 1932699709 |
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Provider Enumeration Date | 05/16/2018 |
Last Update Date | 05/16/2018 |
Identifier | Type | State | Issuer |
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1932699709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0000X | Family Medicine - Adolescent Medicine | 285269 (New York) | Primary |