# 210 MJD MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Silver star urgent care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750712220
- **Authorized official:** DINESH VERMA (DELEGATED OFFICIAL)
- **Authorized official phone:** (917) 847-4980

## Contact information

- **Practice address:** 228 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
- **Practice address phone:** (917) 847-4980
- **Practice address fax:** (833) 424-4357
- **Mailing address:** 249 OLD COUNTRY RD, CARLE PLACE, NY 11514-2024
- **Mailing address phone:** (917) 847-4980
- **Mailing address fax:** (833) 424-4357

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 09/02/2025