Triborough Medical PLLC
Anesthesiology in Fresh Meadows, NY. Organization (NPI-2).
NPI number1922651918
StatusActive
Last updated in NPPESJun 25, 2023
Details
- NPI
- 1922651918
- Entity type
- Organization (NPI-2)
- Legal business name
- Triborough Medical PLLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2019
- Certification date
- Jun 25, 2023
- Last updated
- Jun 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
77-36 169 Street 1st FloorFresh Meadows, NY 11366
Phone 718-878-4656 · Fax 718-889-7444
Mailing address
200 BroadwayBrooklyn, NY 11211
Phone 718-302-1800
Authorized official
Daniel Khaimov
Authorized Official
7188784656
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