| Raul Ulloa Medical PC | |
|
6914 41st Ave # C2 Woodside NY 11377-4028 | |
| (917) 773-2505 | |
| Not Available |
| Full Name | Raul Ulloa Medical PC |
|---|---|
| Speciality | Family Medicine |
| Location | 6914 41st Ave # C2, Woodside, New York |
| Authorized Official Name and Position | Bryan Hilario (ADMINISTRATOR) |
| Authorized Official Contact | 9177732505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Ulloa Medical PC 2230 Tenbroeck Ave Bronx NY 10469-5414 Ph: (917) 773-2505 | Raul Ulloa Medical PC 6914 41st Ave # C2 Woodside NY 11377-4028 Ph: (917) 773-2505 |
| NPI Number | 1447964903 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447964903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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