| 1st Med And Diagnostic Services | |
|
4029a 235th St Douglaston NY 11363-1509 | |
| (516) 620-4246 | |
| (516) 620-6807 |
| Full Name | 1st Med And Diagnostic Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 4029a 235th St, Douglaston, New York |
| Authorized Official Name and Position | Avram Shapiro (ADMINISTRATOR) |
| Authorized Official Contact | 5166204246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Med And Diagnostic Services 4029a 235th St Douglaston NY 11363-1509 Ph: () - | 1st Med And Diagnostic Services 4029a 235th St Douglaston NY 11363-1509 Ph: (516) 620-4246 |
| NPI Number | 1205158870 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205158870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 196473 (New York) | Primary |