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Organization
REFRESHING MEDICAL PC
Active
Organization
REFRESHING MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL E LATORTUE MD (OWNER)
(718) 875-4200
Entity
Organization
Contact information
Practice address
21429 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1733
(718) 465-4540
Mailing address
21429 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1733
(718) 465-4540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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