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Organization
THREE GENERATIONS MEDICAL PC
Active
Organization
THREE GENERATIONS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETYA PETROV MD (MD)
(914) 813-2975
Entity
Organization
Contact information
Practice address
8027 135TH ST, JAMAICA, NY 11435-1029
(718) 544-7000
Mailing address
39 GROVE AVE, NEW ROCHELLE, NY 10801-6254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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