Comprehensive Family Medical Practice, Pc

NPI 1194023135 - Specialist - 174400000X

NPI Details
NPI 1194023135
Enumeration Date 02/28/2011
Last Updated 02/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JIA JIA
Position OWNER
Phone (718) 886-6530
Fax
Practice Location
4223 212TH ST
UNIT 1C
BAYSIDE NY, 11361-2979, US
Phone (718) 886-6530
Fax
Business Location
42-23 212TH STREET
UNIT1C
BAYSIDE NY, 11361, US
Phone (718) 886-6530
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Comprehensive Family Medical Practice, Pc NPI is 1194023135, taxonomy code is 174400000X Comprehensive Family Medical Practice, Pc physically located at 4223 212th St, Bayside NY, 11361-2979. NPI Number 1033115704 has the healthcare provider type.

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1194023135 NPI number is provided on an as is basis without warranty of any kind. 1194023135 is maintained by the National Plan & Provider Enumeration System. The contents of Comprehensive Family Medical Practice, Pc are for informational purposes only.