| NPI Details | |
|---|---|
| NPI | 1790992030 |
| Enumeration Date | 05/17/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | DAVID G DAVID |
| Position | PRESIDENT |
| Phone | (718) 268-4468 |
| Fax | |
| Practice Location | |
|---|---|
| 11045 QUEENS BLVD SUITE AA FOREST HILLS NY, 11375-5501, US |
|
| Phone | (718) 268-4468 |
| Fax | |
| Business Location | |
|---|---|
| 717 FRONT ST HEMPSTEAD NY, 11550-4534, US |
|
| Phone | (516) 565-4370 |
| Fax | (516) 565-2644 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208100000X |
| License State | New York |
| License Number | 228173 |
| Remove 1790992030 NPI Number | |
According to our database, Front Street Medical Pc NPI is 1790992030, taxonomy code is 208100000X and license number is 228173, license state is located at New York. Front Street Medical Pc physically located at 11045 Queens Blvd, Forest Hills NY, 11375-5501. NPI Number 1033115704 has the healthcare provider type.
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1790992030 NPI number is provided on an as is basis without warranty of any kind. 1790992030 is maintained by the National Plan & Provider Enumeration System. The contents of Front Street Medical Pc are for informational purposes only.
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