| Medea Medical Pc | |
|
6829 Springfield Blvd Oakland Gdns NY 11364-2632 | |
| (718) 225-3001 | |
| (718) 225-3002 |
| Full Name | Medea Medical Pc |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 6829 Springfield Blvd, Oakland Gdns, New York |
| Authorized Official Name and Position | Omari Chubinidze (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7182253001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medea Medical Pc 6829 Springfield Blvd Oakland Gdns NY 11364-2632 Ph: (718) 225-3001 | Medea Medical Pc 6829 Springfield Blvd Oakland Gdns NY 11364-2632 Ph: (718) 225-3001 |
| NPI Number | 1932699709 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 05/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932699709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | 285269 (New York) | Primary |