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Organization
PRIORITY MEDICAL GROUP, P.C.
Active
Organization
PRIORITY MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURY FAYDA M.D. (OWNER)
(718) 206-4420
Entity
Organization
Contact information
Practice address
16402 JAMAICA AVE, JAMAICA, NY 11432-4914
(718) 206-2700
Mailing address
16402 JAMAICA AVE, JAMAICA, NY 11432-4914
(718) 206-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
112714
NY
208D00000X
General Practice Physician
112714
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02737584
—
NY
Enumeration date
08/13/2008
Last updated
01/20/2010
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