| Refreshing Medical Pc | |
|
21429 Jamaica Ave Queens Village NY 11428-1733 | |
| (718) 465-4540 | |
| Not Available |
| Full Name | Refreshing Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 21429 Jamaica Ave, Queens Village, New York |
| Authorized Official Name and Position | Karl E Latortue (OWNER) |
| Authorized Official Contact | 7188754200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Refreshing Medical Pc 21429 Jamaica Ave Queens Village NY 11428-1733 Ph: (718) 465-4540 | Refreshing Medical Pc 21429 Jamaica Ave Queens Village NY 11428-1733 Ph: (718) 465-4540 |
| NPI Number | 1184998015 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 02/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184998015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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