| 63 St Medical Heathcare Pc | |
|
3939 63rd St # 1a Woodside NY 11377-3648 | |
| (718) 205-2992 | |
| Not Available |
| Full Name | 63 St Medical Heathcare Pc |
|---|---|
| Speciality | General Practice |
| Location | 3939 63rd St # 1a, Woodside, New York |
| Authorized Official Name and Position | Dan Acaru (PRESIDENT) |
| Authorized Official Contact | 7182052992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 63 St Medical Heathcare Pc 3939 63rd St # 1a Woodside NY 11377-3648 Ph: (718) 205-2992 | 63 St Medical Heathcare Pc 3939 63rd St # 1a Woodside NY 11377-3648 Ph: (718) 205-2992 |
| NPI Number | 1396012324 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396012324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 141555 (New York) | Primary |
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