| Medical Professional Group | |
|
3110 37th Ave Ste 203 Long Island City NY 11101-2112 | |
| (718) 433-0044 | |
| (718) 433-4644 |
| Full Name | Medical Professional Group |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 3110 37th Ave Ste 203, Long Island City, New York |
| Authorized Official Name and Position | Gina Duval (ADMINSTRATOR) |
| Authorized Official Contact | 7184330044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Professional Group 3110 37th Ave Ste 202 Long Island City NY 11101-2112 Ph: (718) 433-0044 | Medical Professional Group 3110 37th Ave Ste 203 Long Island City NY 11101-2112 Ph: (718) 433-0044 |
| NPI Number | 1326348608 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 10/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326348608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | 163744 (New York) | Primary |
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