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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Specialist · FLORAL PARK, NY

Registration Details

NPI Number
1124665112
Provider Type
Organization
NPI Issued
Dec 9, 2019 (6.3938228202601 yrs)
Last Updated
Dec 9, 2019

Practice Information

Address
24902 JERICHO TPKE STE 207
FLORAL PARK, NY, 110014000
Browse NY providers · Browse ZIP 11001
Phone
7186352404
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in FLORAL PARK, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.