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Organization
PRIMARY CARE GROUP LLC
Active
Organization
PRIMARY CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID RASUL MD (MANAGING MEMBER)
(917) 774-1787
Entity
Organization
Contact information
Practice address
743 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2515
(718) 534-7888
(718) 874-0088
Mailing address
PO BOX 3945, NEW HYDE PARK, NY 11040-8945
(718) 534-7888
(718) 874-0088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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