Organization · NPI-2

9301 Health Medical Corner PC

Internal Medicine · Jackson Heights, NY

NPI number1891313151
StatusActive
Last updated in NPPESJul 13, 2020

Details

NPI
1891313151
Entity type
Organization (NPI-2)
Legal business name
9301 Health Medical Corner PC
Organization subpart
No
Enumeration date
Jul 13, 2020
Certification date
Jul 13, 2020
Last updated
Jul 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

9301 Roosevelt Ave
Jackson Heights, NY 11372-7943

Phone 718-334-0001 · Fax 718-334-0093

Mailing address

9301 Roosevelt Ave
Jackson Heights, NY 11372-7943

Phone 718-334-0001 · Fax 718-334-0093

Authorized official

Farid Shahkoohi
Officer
7183340001

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