Prime Medical Care, PC
Family Medicine in South Richmond Hill, NY. Organization (NPI-2).
NPI number1215202874
StatusActive
Last updated in NPPESMar 15, 2012
Details
- NPI
- 1215202874
- Entity type
- Organization (NPI-2)
- Legal business name
- Prime Medical Care, PC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2012
- Last updated
- Mar 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
11808 101st AveSouth Richmond Hill, NY 11419-1230
Phone 718-441-0410
Mailing address
36 Felton AveValley Stream, NY 11580-3902
Phone 631-355-9052
Authorized official
Tahira Ghaffar
Medical Director
7184410410
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