| Roberto Gonzales Javier, Nurse Practitioner In Adult Health, P.l.l.c. | |
|
8635 Queens Blvd Ste 1a Elmhurst NY 11373-4408 | |
| (347) 420-7869 | |
| (718) 565-2558 |
| Full Name | Roberto Gonzales Javier, Nurse Practitioner In Adult Health, P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8635 Queens Blvd Ste 1a, Elmhurst, New York |
| Authorized Official Name and Position | Roberto Javier (OWNER) |
| Authorized Official Contact | 3474207869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto Gonzales Javier, Nurse Practitioner In Adult Health, P.l.l.c. 4520 Utopia Pkwy Flushing NY 11358-3331 Ph: (212) 671-0978 | Roberto Gonzales Javier, Nurse Practitioner In Adult Health, P.l.l.c. 8635 Queens Blvd Ste 1a Elmhurst NY 11373-4408 Ph: (347) 420-7869 |
| NPI Number | 1376146332 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376146332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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