Northern Medical PLLC
Anesthesiology in Flushing, NY. Organization (NPI-2).
NPI number1528616331
StatusActive
Last updated in NPPESSep 27, 2019
Details
- NPI
- 1528616331
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Medical PLLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2019
- Last updated
- Sep 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
15408 Northern Blvd Ste 2kFlushing, NY 11354-5042
Phone 347-782-1732
Mailing address
Po Box 270Massapequa Park, NY 11762-0270
Phone 631-264-2030
Authorized official
Steve Shay
MD
9176766954
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