Front Street Medical Pc

NPI 1790992030 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1790992030
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 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
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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.