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Organization
MEYEROVICH MEDICAL & DIAGNOSTIC PC
Active
Organization
MEYEROVICH MEDICAL & DIAGNOSTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA MEYEROVICH MD (PRESIDENT)
(718) 830-0400
Entity
Organization
Contact information
Practice address
9811 QUEENS BLVD, SUITE 1E, REGO PARK, NY 11374-3323
(718) 830-0400
(718) 830-0005
Mailing address
9811 QUEENS BLVD, SUITE 1E, REGO PARK, NY 11374-3323
(718) 830-0400
(718) 830-0005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
217870
NY
2084P0800X
Psychiatry Physician
218770
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02228682
—
NY
Enumeration date
05/05/2007
Last updated
01/24/2014
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