Hillside Primary Medical Care Pc

NPI 1417295064 - Internal Medicine - 207R00000X

NPI Details
NPI 1417295064
Enumeration Date 01/16/2013
Last Updated 01/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANDRE ANDRE
Position PRESIDENT
Phone (347) 395-9575
Fax
Practice Location
6318 AUSTIN ST
REGO PARK NY, 11374-2923, US
Phone (347) 395-9575
Fax
Business Location
6318 AUSTIN ST
REGO PARK NY, 11374-2923, US
Phone (347) 395-9575
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 192191
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According to our database, Hillside Primary Medical Care Pc NPI is 1417295064, taxonomy code is 207R00000X and license number is 192191, license state is located at New York. Hillside Primary Medical Care Pc physically located at 6318 Austin St, Rego Park NY, 11374-2923. NPI Number 1033115704 has the healthcare provider type.

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1417295064 NPI number is provided on an as is basis without warranty of any kind. 1417295064 is maintained by the National Plan & Provider Enumeration System. The contents of Hillside Primary Medical Care Pc are for informational purposes only.