| Kew Gardens Medical Pc | |
|
Jfk Medport Building 14 West Suite 14a Jamaica NY 11430 | |
| (718) 656-1245 | |
| (718) 656-3060 |
| Full Name | Kew Gardens Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | Jfk Medport Building 14 West, Jamaica, New York |
| Authorized Official Name and Position | Gerald Surya (OWNER) |
| Authorized Official Contact | 7186561245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kew Gardens Medical Pc Jfk Medport Building 14 West Suite 14a Jamaica NY 11430 Ph: (718) 656-1245 | Kew Gardens Medical Pc Jfk Medport Building 14 West Suite 14a Jamaica NY 11430 Ph: (718) 656-1245 |
| NPI Number | 1609880442 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609880442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 204213 (New York) | Primary |
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