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Organization
MEDISOURCE CORP
Active
Organization
MEDISOURCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV SINGH (OWNER)
(888) 446-4118
Entity
Organization
Contact information
Practice address
9522 117TH ST, SOUTH RICHMOND HILL, NY 11419-1212
(888) 446-4118
Mailing address
9522 117TH ST, SOUTH RICHMOND HILL, NY 11419-1212
(888) 446-4118
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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