Marina Podval Medical PC
Internal Medicine in Flushing, NY. Organization (NPI-2).
NPI number1245554609
StatusActive
Last updated in NPPESApr 9, 2012
Details
- NPI
- 1245554609
- Entity type
- Organization (NPI-2)
- Legal business name
- Marina Podval Medical PC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2010
- Last updated
- Apr 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4332 Kissena Blvd Apt LaFlushing, NY 11355-2944
Phone 718-454-4356
Mailing address
4332 Kissena Blvd Apt LaFlushing, NY 11355-2944
Phone 718-939-4509
Authorized official
Marina Podval
MD
7182329191
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