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NPI Verification

National Provider Identifier: 1588157788

96th Street Junction Blvd Medical PC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

5548 96TH ST

CORONA, NY 11368

Phone: 718-606-1199

NPI Enumeration Date

June 12, 2018

NPI Number

1588157788

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