Organization
DUTCH BROADWAY FAMILY MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX NOEL M.D. (OWNER)
(516) 488-8595
Entity
Organization
Contact information
Practice address
2366 DUTCH BROADWAY, ELMONT, NY 11003-3508
(516) 488-8599
Mailing address
2366 DUTCH BROADWAY, ELMONT, NY 11003-3508
(516) 488-8599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02624091
—
NY
Enumeration date
08/20/2006
Last updated
09/19/2014
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