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Aesthetic Medical Associates PLLC Dba Liberty Obs

Obstetrics & Gynecology, Obstetrics in Flushing, NY. Organization (NPI-2).

NPI number1063824514
StatusActive
Last updated in NPPESJun 2, 2014

Details

NPI
1063824514
Entity type
Organization (NPI-2)
Legal business name
Aesthetic Medical Associates PLLC Dba Liberty Obs
Organization subpart
No
Enumeration date
Jun 2, 2014
Last updated
Jun 2, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0000X Obstetrics & Gynecology, Obstetrics––Yes

Practice location

3701 Main St
Suite 5b
Flushing, NY 11354-6538

Phone 718-888-0018

Mailing address

3701 Main St
Suite 5b
Flushing, NY 11354-6538

Phone 718-888-0018

Authorized official

Robert Rho
President
7188880018

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