| Dora Zaretsky Medical P.c. | |
|
98120 Queens Blvd Ste 1c Rego Park NY 11374-4414 | |
| (718) 830-0246 | |
| (718) 830-0246 |
| Full Name | Dora Zaretsky Medical P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 98120 Queens Blvd Ste 1c, Rego Park, New York |
| Authorized Official Name and Position | Mary Butner (ADMINISTRATIVE) |
| Authorized Official Contact | 7188300246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dora Zaretsky Medical P.c. 98120 Queens Blvd Ste 1c Rego Park NY 11374-4414 Ph: (718) 830-0246 | Dora Zaretsky Medical P.c. 98120 Queens Blvd Ste 1c Rego Park NY 11374-4414 Ph: (718) 830-0246 |
| NPI Number | 1457839243 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457839243 | NPI | - | NPPES |
| 01983086 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 213276-1 (New York) | Primary |
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