Organization · NPI-2

786 Medical PC

Legal Medicine · Astoria, NY

NPI number1760439509
StatusActive
Last updated in NPPESJun 13, 2008

Details

NPI
1760439509
Entity type
Organization (NPI-2)
Legal business name
786 Medical PC
Organization subpart
No
Enumeration date
May 27, 2006
Last updated
Jun 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
173000000X Legal Medicine132562NYYes

Practice location

3511 Ditmars Blvd
Astoria, NY 11105-2108

Phone 212-996-0006

Mailing address

3511 Ditmars Blvd
Astoria, NY 11105-2108

Authorized official

Muhammad Rafiq Chaudhry
Authorized Official
2129960006

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