# 1ST MED AND DIAGNOSTIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205158870
- **Authorized official:** AVRAM SHAPIRO (ADMINISTRATOR)
- **Authorized official phone:** (516) 620-4246

## Contact information

- **Practice address:** 4029A 235TH ST, DOUGLASTON, NY 11363-1509
- **Practice address phone:** (516) 620-4246
- **Practice address fax:** (516) 620-6807
- **Mailing address:** 4029A 235TH ST, DOUGLASTON, NY 11363-1509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 196473 | NY | Yes |

## Other

- **Enumeration date:** 02/23/2010
- **Last updated:** 02/23/2010