# CORRECTIONAL MEDICAL ASSOCIATES OF NEWYORK, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHS Medical Services, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669817938
- **Authorized official:** DR. JAY COWAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (347) 774-7015

## Contact information

- **Practice address:** 4904 19TH AVE, ASTORIA, NY 11105-1002
- **Practice address phone:** (347) 774-7015
- **Practice address fax:** (347) 774-8051
- **Mailing address:** 4904 19TH AVE, ASTORIA, NY 11105-1002
- **Mailing address phone:** (347) 774-7015
- **Mailing address fax:** (347) 774-8051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 333600000X | Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/01/2013
- **Last updated:** 05/01/2013