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Organization
OPHY CARE MEDICAL GROUP PC
Active
Organization
OPHY CARE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT BHARDWAJ (PRESIDENT)
(646) 954-7697
Entity
Organization
Contact information
Practice address
9013 204TH ST, HOLLIS, NY 11423-2724
(646) 954-7697
Mailing address
9013 204TH ST, HOLLIS, NY 11423-2724
(646) 954-7697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04405556
—
NY
Enumeration date
03/10/2022
Last updated
03/10/2022
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