| Td Advanced Medical Pc | |
|
11054 Springfield Blvd Queens Village NY 11429-2521 | |
| (718) 740-4984 | |
| Not Available |
| Full Name | Td Advanced Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11054 Springfield Blvd, Queens Village, New York |
| Authorized Official Name and Position | Leslie Theodore (PRESIDENT) |
| Authorized Official Contact | 7187404984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Td Advanced Medical Pc 683 Half Hollow Rd Dix Hills NY 11746-6232 Ph: () - | Td Advanced Medical Pc 11054 Springfield Blvd Queens Village NY 11429-2521 Ph: (718) 740-4984 |
| NPI Number | 1760714349 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760714349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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