# EZ MEDHEALTH CARE PC

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

## Provider details

- **NPI number:** 1245347301
- **Authorized official:** VADIM DAVYDOV DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 730-0100

## Contact information

- **Practice address:** 101-20 QUEENS BLVD, EZ MEDHEALTH CARE PC, FOREST HILLS, NY 11375
- **Practice address phone:** (718) 730-0100
- **Practice address fax:** (718) 730-9439
- **Mailing address:** 101- 20 QUEENS BLVD, EZ MEDHEALTH CARE PC, FOREST HILLS, NY 11375
- **Mailing address phone:** (718) 730-0100
- **Mailing address fax:** (718) 730-9439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/22/2020