| Woodside Medical Diagnostic, Pc. | |
|
3120 54th St Suite L2 Woodside NY 11377-1530 | |
| (718) 476-5859 | |
| (718) 476-9859 |
| Full Name | Woodside Medical Diagnostic, Pc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3120 54th St, Woodside, New York |
| Authorized Official Name and Position | Endora I. Dragomir (BILLER) |
| Authorized Official Contact | 7185455947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodside Medical Diagnostic, Pc. 3120 54th St Suite L2 Woodside NY 11377-1530 Ph: (718) 476-5859 | Woodside Medical Diagnostic, Pc. 3120 54th St Suite L2 Woodside NY 11377-1530 Ph: (718) 476-5859 |
| NPI Number | 1952505331 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952505331 | NPI | - | NPPES |
| 01130987 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 178659 (New York) | Primary |
Woodside Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6019 Roosevelt Ave Ste 201, Woodside, NY 11377 Phone: 718-446-6579 Fax: 718-446-1213 | |
Paddu & Associates Medical Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49-02 Queens Blvd, Woodside, NY 11377 Phone: 718-784-4502 Fax: 718-784-5180 | |
Fira Nihamin Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3965 52nd St, Woodside, NY 11377 Phone: 718-429-0039 Fax: 718-429-6965 | |
Woodside Medical Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 06 Roosevelt Avenue, Woodside, NY 11377 Phone: 718-374-6222 Fax: 718-374-6213 | |
Parsons Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6019 Roosevelt Ave. 201, Woodside, NY 11377 Phone: 718-446-6579 Fax: 718-446-1213 | |
Medpro Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6527 Roosevelt Ave # 1a, Woodside, NY 11377 Phone: 718-550-2273 Fax: 718-550-2274 | |
Queens Wound & Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6535 Queens Blvd, Woodside, NY 11377 Phone: 718-426-4562 Fax: 718-426-4560 |