Organization · NPI-2

75th Street Medical PC

Internal Medicine, Pulmonary Disease · Jackson Heights, NY

NPI number1205173531
StatusActive
Last updated in NPPESJan 7, 2013

Details

NPI
1205173531
Entity type
Organization (NPI-2)
Legal business name
75th Street Medical PC
Organization subpart
No
Enumeration date
Jan 7, 2013
Last updated
Jan 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease––Yes

Practice location

3756 75th St
Jackson Heights, NY 11372-6496

Phone 718-426-9717

Mailing address

3756 75th St
Jackson Heights, NY 11372-6496

Phone 718-426-9717

Authorized official

Khaleeq Arshed
Provider
7189349720

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