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Organization
LAMD MEDICAL GROUP MULTISPECIALITY
Active
Organization
LAMD MEDICAL GROUP MULTISPECIALITY
Active
Other names
LAMD Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY THOMAS DO (MEDICAL DIRECTOR)
(718) 639-3603
Entity
Organization
Contact information
Practice address
3703 92ND ST, JACKSON HEIGHTS, NY 11372-7929
(718) 639-3603
Mailing address
3703 92ND ST, JACKSON HEIGHTS, NY 11372-7929
(718) 639-3603
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
214048
NY
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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