| Dk Total Medical Pc | |
|
9530 Queens Blvd Rego Park NY 11374-1136 | |
| (718) 275-7860 | |
| (718) 275-7882 |
| Full Name | Dk Total Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9530 Queens Blvd, Rego Park, New York |
| Authorized Official Name and Position | Pavel Yutsis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7182757860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dk Total Medical Pc 9530 Queens Blvd Rego Park NY 11374-1136 Ph: (718) 275-7860 | Dk Total Medical Pc 9530 Queens Blvd Rego Park NY 11374-1136 Ph: (718) 275-7860 |
| NPI Number | 1205843349 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205843349 | NPI | - | NPPES |
| 02368849 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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