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Organization
SUPREME MEDICAL CARE, PLLC.
Active
Organization
SUPREME MEDICAL CARE, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHSAN NAZIR M.D. (PRESIDENT)
(516) 633-9508
Entity
Organization
Contact information
Practice address
18911 JAMAICA AVE, HOLLIS, NY 11423-2513
(718) 479-1100
(718) 479-1103
Mailing address
237 CUSHING AVE, WILLISTON PARK, NY 11596-1050
(516) 633-9508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207297
NY
Other
Enumeration date
10/18/2010
Last updated
06/10/2016
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