North Valley Medical, Pc | |
234-32 Merrick Blvd Rosedale NY 11422 | |
(718) 276-4482 | |
(718) 276-5083 |
Full Name | North Valley Medical, Pc |
---|---|
Speciality | Internal Medicine |
Location | 234-32 Merrick Blvd, Rosedale, New York |
Authorized Official Name and Position | Dawn Coburn (OFFICE MANAGER) |
Authorized Official Contact | 5163514046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Valley Medical, Pc 25931 148th Dr Rosedale NY 11422-3001 Ph: (516) 351-4046 | North Valley Medical, Pc 234-32 Merrick Blvd Rosedale NY 11422 Ph: (718) 276-4482 |
NPI Number | 1972701530 |
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Provider Enumeration Date | 07/05/2007 |
Last Update Date | 06/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972701530 | NPI | - | NPPES |
01617674 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 198832 (New York) | Primary |
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