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NPI Verification

National Provider Identifier: 1205158870

1st Med and Diagnostic Services

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

4029A 235TH ST

DOUGLASTON, NY 113631509

NPI Enumeration Date

February 23, 2010

NPI Number

1205158870

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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