| Palmetto Medical Group, Llp | |
|
337 Saint Nicholas Ave Ridgewood NY 11385-2738 | |
| (718) 499-6099 | |
| (718) 499-6391 |
| Full Name | Palmetto Medical Group, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 337 Saint Nicholas Ave, Ridgewood, New York |
| Authorized Official Name and Position | Jorge Serje (OWNER) |
| Authorized Official Contact | 7184996099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Medical Group, Llp 337 Saint Nicholas Ave Ridgewood NY 11385-2738 Ph: (718) 499-6099 | Palmetto Medical Group, Llp 337 Saint Nicholas Ave Ridgewood NY 11385-2738 Ph: (718) 499-6099 |
| NPI Number | 1790079960 |
|---|---|
| Provider Enumeration Date | 06/06/2011 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790079960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 179466 (New York) | Primary |
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