Jackson Heights Obs PLLC
in Jackson Hts, NY. Organization (NPI-2).
NPI number1982808499
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982808499
- Entity type
- Organization (NPI-2)
- Legal business name
- Jackson Heights Obs PLLC
- Organization subpart
- No
- Enumeration date
- Jun 11, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | N004054 | NY | Yes |
Practice location
3741 91st StJackson Hts, NY 11372-7927
Phone 718-779-3900
Mailing address
3741 91st StJackson Hts, NY 11372-7927
Phone 718-779-3900
Authorized official
James Anarella
Podiatrist
7187793900
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