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13130 Merrick Blvd Jamaica NY 11434-4134 | |
| (718) 233-2556 | |
| (718) 233-2569 |
| Full Name | |
|---|---|
| Speciality | Pediatrics |
| Location | 13130 Merrick Blvd, Jamaica, New York |
| Authorized Official Name and Position | Alicia N Massop-flowers (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 7182332556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13130 Merrick Blvd Jamaica NY 11434-4134 Ph: (718) 233-2556 | 13130 Merrick Blvd Jamaica NY 11434-4134 Ph: (718) 233-2556 |
| NPI Number | 1851776082 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851776082 | NPI | - | NPPES |
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