| 96th Street Junction Blvd Medical Pc | |
|
5548 96th St Corona NY 11368 | |
| (718) 606-1199 | |
| Not Available |
| Full Name | 96th Street Junction Blvd Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5548 96th St, Corona, New York |
| Authorized Official Name and Position | Wilder Rucker (OWNER) |
| Authorized Official Contact | 7186061199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 96th Street Junction Blvd Medical Pc 5548 96th St Corona NY 11368-3009 Ph: () - | 96th Street Junction Blvd Medical Pc 5548 96th St Corona NY 11368 Ph: (718) 606-1199 |
| NPI Number | 1588157788 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588157788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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