Hillside Internal Medicine
Internal Medicine in Bellerose, NY. Organization (NPI-2).
NPI number1982803755
StatusActive
Last updated in NPPESSep 12, 2007
Details
- NPI
- 1982803755
- Entity type
- Organization (NPI-2)
- Legal business name
- Hillside Internal Medicine
- Organization subpart
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Sep 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 225462 | NY | Yes |
Practice location
250-12b Hillside AvenueBellerose, NY 11426
Phone 718-343-7601
Mailing address
250-12b Hillside AvenueBellerose, NY 11426
Authorized official
Thomas Mathew
Physician/Owner
7183437601
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