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Organization
FIVE STAR MEDICAL OFFICE PC
Active
Organization
FIVE STAR MEDICAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTE DAYE (VP REVENUE MANAGEMENT)
(470) 553-3591
Entity
Organization
Contact information
Practice address
10407 METROPOLITAN AVE, FOREST HILLS, NY 11375-6735
(718) 576-4652
(516) 710-7846
Mailing address
PO BOX 801280, KANSAS CITY, MO 64180-1280
(718) 576-4652
(516) 710-7846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
265676
NY
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
03/15/2023
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