Prime Medical Care, Pc

NPI 1215202874 - Family Medicine - 207Q00000X

NPI Details
NPI 1215202874
Enumeration Date 03/15/2012
Last Updated 03/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TAHIRA TAHIRA
Position MEDICAL DIRECTOR
Phone (718) 441-0410
Fax
Practice Location
11808 101ST AVE
SOUTH RICHMOND HILL NY, 11419-1230, US
Phone (718) 441-0410
Fax
Business Location
36 FELTON AVE
VALLEY STREAM NY, 11580-3902, US
Phone (631) 355-9052
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Prime Medical Care, Pc NPI is 1215202874, taxonomy code is 207Q00000X Prime Medical Care, Pc physically located at 11808 101st Ave, South Richmond Hill NY, 11419-1230. NPI Number 1033115704 has the healthcare provider type.

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1215202874 NPI number is provided on an as is basis without warranty of any kind. 1215202874 is maintained by the National Plan & Provider Enumeration System. The contents of Prime Medical Care, Pc are for informational purposes only.