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Organization
IDA MESSANA MD PLLC
Active
Organization
IDA MESSANA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA MESSANA M.D. (OWNER)
(718) 263-4345
Entity
Organization
Contact information
Practice address
10933 71ST RD, SUITE 2 E, FOREST HILLS, NY 11375-4867
(718) 263-4345
(718) 793-5607
Mailing address
10933 71ST RD, SUITE 2 E, FOREST HILLS, NY 11375-4867
(718) 263-4345
(718) 793-5607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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