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Organization
ONSITE MEDICAL SUITE PC
Active
Organization
ONSITE MEDICAL SUITE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYYA MUNAROVA DO (CHAIRMAN)
(718) 606-2800
Entity
Organization
Contact information
Practice address
9811 QUEENS BLVD, SUITE LL3, REGO PARK, NY 11374
(718) 606-2800
(718) 606-2895
Mailing address
9811 QUEENS BLVD, SUITE LL3, REGO PARK, NY 11374-3338
(718) 606-2800
(718) 606-2895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
231069
NY
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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