New York Medical & Diagnostic Center INC
Family Medicine in Kew Gardens, NY. Organization (NPI-2).
NPI number1790771889
StatusActive
Last updated in NPPESMay 4, 2016
Details
- NPI
- 1790771889
- Entity type
- Organization (NPI-2)
- Legal business name
- New York Medical & Diagnostic Center INC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2005
- Last updated
- May 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
8046 Kew Gardens RdKew Gardens, NY 11415-1154
Phone 718-261-1000 · Fax 718-261-0336
Mailing address
8046 Kew Gardens RdKew Gardens, NY 11415-1154
Phone 718-261-1000 · Fax 718-261-0336
Authorized official
Jacob K Sadigh
Administrator
7182611000
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