Organization
ST ALBANS MEDICAL PC
Active
Other names
St Albans Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUFRENY ALPHONSE GILOUX MD (OWNER)
(718) 413-5665
Entity
Organization
Contact information
Practice address
199-12 HOLLIS AVENUE, 1ST FL, JAMAICA, NY 11412-1232
(718) 413-5665
(718) 413-5650
Mailing address
19912 HOLLIS AVE, 1ST FL, JAMAICA, NY 11412-1232
(718) 413-5665
(718) 413-5650
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1854231
NY
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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