# EAST ELMHURST PRIMARY MEDICAL CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851347900
- **Authorized official:** MR. ERIC JONES (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (718) 233-9122

## Contact information

- **Practice address:** 2008 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-2803
- **Practice address phone:** (718) 565-6880
- **Practice address fax:** (877) 796-4457
- **Mailing address:** 2008 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-2803
- **Mailing address phone:** (718) 565-6880
- **Mailing address fax:** (877) 796-4457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 180270 | NY | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 180270 | NY | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 07/02/2024