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Organization
HEALTHY MEDICAL CARE
Active
Organization
HEALTHY MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLAI LAGODUKE MD (MEDICAL DIRECTOR)
(718) 897-0300
Entity
Organization
Contact information
Practice address
9876 QUEENS BLVD, SUITE 1K, REGO PARK, NY 11374-4356
(718) 897-0300
(718) 897-3330
Mailing address
9876 QUEENS BLVD, SUITE 1K, REGO PARK, NY 11374-4356
(718) 897-0300
(718) 897-3330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233906
NY
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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