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Family Medicine Physician

NPI: 1962206748IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

356463(NY)

CMS Specialties

Education

OTHER

Class of 2024

Contact & Hours

Address
13527 38TH AVE FL 2
FLUSHING, NY 11354

Quick Facts

NPI
1962206748
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
2

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