Organization
UNION TPKE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA M (OFFICE MANAGER)
(718) 380-0011
Entity
Organization
Contact information
Practice address
15034 UNION TPKE, FLUSHING, NY 11367-3928
(718) 380-0011
(718) 820-0841
Mailing address
15034 UNION TPKE, FLUSHING, NY 11367-3928
(718) 380-0011
(718) 820-0841
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
203378
NY
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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