| Skender Driza Medical Pc | |
|
6062 Palmetto St Ridgewood NY 11385-3241 | |
| (718) 821-4443 | |
| (718) 821-5785 |
| Full Name | Skender Driza Medical Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 6062 Palmetto St, Ridgewood, New York |
| Authorized Official Name and Position | Skender Driza (OWNER) |
| Authorized Official Contact | 7184177581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skender Driza Medical Pc 5916 69th Ave Ridgewood NY 11385-4454 Ph: (718) 417-7581 | Skender Driza Medical Pc 6062 Palmetto St Ridgewood NY 11385-3241 Ph: (718) 821-4443 |
| NPI Number | 1710157581 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710157581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 245274 (New York) | Primary |
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