| Ozone Park Medical Diagnostic Assoc. Pc | |
|
9510 101st Ave Ozone Park NY 11416-2518 | |
| (718) 835-3800 | |
| (718) 641-3802 |
| Full Name | Ozone Park Medical Diagnostic Assoc. Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 9510 101st Ave, Ozone Park, New York |
| Authorized Official Name and Position | Merrill C Kaufman (PRESIDENT) |
| Authorized Official Contact | 7188353800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozone Park Medical Diagnostic Assoc. Pc 9510 101st Ave Ozone Park NY 11416-2518 Ph: (718) 835-3800 | Ozone Park Medical Diagnostic Assoc. Pc 9510 101st Ave Ozone Park NY 11416-2518 Ph: (718) 835-3800 |
| NPI Number | 1629195938 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629195938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 138339 (New York) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 120794 (New York) | Primary |
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