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NPI Verification

National Provider Identifier: 1871707372

9317 Medical Office PC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Primary

Pediatrics

Code: 208000000X

Practice Address

9317 ROOSEVELT AVE

JACKSON HEIGHTS, NY 113727943

Phone: 718-446-0270

NPI Enumeration Date

May 10, 2007

NPI Number

1871707372

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