Organization · NPI-2

Astoria Advanced And Integrative Medicine PC

Internal Medicine, Pulmonary Disease · Astoria, NY

NPI number1063700367

StatusActive

Last updated in NPPESJul 21, 2011

Details

NPI: 1063700367
Entity type: Organization (NPI-2)
Legal business name: Astoria Advanced And Integrative Medicine PC
Organization subpart: No
Enumeration date: Jul 20, 2011
Last updated: Jul 21, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RP1001X	Internal Medicine, Pulmonary Disease	–	–	Yes
152W00000X	Optometrist	–	–
207W00000X	Ophthalmology	–	–

Practice location

3080 21st St
2nd Floor Medical Center
Astoria, NY 11102-4242

Phone 718-873-9550 · Fax 718-228-4591

Mailing address

3080 21st St
2nd Floor Medical Center
Astoria, NY 11102-4242

Phone 718-873-9550 · Fax 718-228-4591

Authorized official

Peggy L Voelpel
Director Credentialing & Compliance
3217248398

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