PROVISION AT NEW YORK LLC

Clinic/Center

NPI: 1467749630Organization

Specialties, Licenses & Credentials

Clinic/CenterPrimary

Clinic/Center

Code: 261Q00000X

TUV006676(NY)

Primary Care Clinic/Center

Clinic/Center — Primary Care

Code: 261QP2300X

TUV006676(NY)

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Contact & Hours

Address: 6135 JUNCTION BLVD
REGO PARK, NY 11374
Phone: (718) 760-7862

Quick Facts

NPI: 1467749630
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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