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Organization
TRINITY MEDICINE PC
Active
Organization
TRINITY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL AZIZ TADROS MD (PRESIDENT)
(718) 321-8522
Entity
Organization
Contact information
Practice address
15015 41ST AVE STE 2, FLUSHING, NY 11354-4929
(718) 321-8522
(718) 321-8524
Mailing address
15015 41ST AVE STE 2, FLUSHING, NY 11354-4929
(718) 321-8522
(718) 321-8524
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063467546
NPI
NY
Enumeration date
01/25/2014
Last updated
01/25/2014
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