| Metar Medical Pc | |
|
7716 164th St Fresh Meadows NY 11366-1227 | |
| (718) 969-6100 | |
| (718) 969-6103 |
| Full Name | Metar Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7716 164th St, Fresh Meadows, New York |
| Authorized Official Name and Position | Sergey Gabinsky (OWNER) |
| Authorized Official Contact | 7189696100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metar Medical Pc 7716 164th St Fresh Meadows NY 11366-1227 Ph: (718) 969-6100 | Metar Medical Pc 7716 164th St Fresh Meadows NY 11366-1227 Ph: (718) 969-6100 |
| NPI Number | 1053648899 |
|---|---|
| Provider Enumeration Date | 11/16/2009 |
| Last Update Date | 11/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053648899 | NPI | - | NPPES |
| 01592790 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 199910 (New York) | Primary |
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