| Premium Medical Of Ny,pc | |
|
14709 Elm Ave Suite B1 Flushing NY 11355-1705 | |
| (718) 445-1223 | |
| (718) 445-1539 |
| Full Name | Premium Medical Of Ny,pc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 14709 Elm Ave, Flushing, New York |
| Authorized Official Name and Position | Christopher Georgiou (PRESIDENT) |
| Authorized Official Contact | 7184451223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Medical Of Ny,pc 14709 Elm Ave Suite B1 Flushing NY 11355-1705 Ph: (718) 445-1223 | Premium Medical Of Ny,pc 14709 Elm Ave Suite B1 Flushing NY 11355-1705 Ph: (718) 445-1223 |
| NPI Number | 1972869675 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972869675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 193788 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 193788 (New York) | Primary |
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