# AD MEDICAL CARE PC

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

## Provider details

- **NPI number:** 1396496402
- **Authorized official:** ALFRED DE ROSA MD (PRESIDENT)
- **Authorized official phone:** (718) 784-2834

## Contact information

- **Practice address:** 4844 44TH ST, WOODSIDE, NY 11377-6937
- **Practice address phone:** (718) 784-2834
- **Mailing address:** 4844 44TH ST, WOODSIDE, NY 11377-6937
- **Mailing address phone:** (718) 784-2834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 01/11/2022
- **Last updated:** 02/14/2023