Organization
PREMIER MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN DIAZ (OWNER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
325 MERRICK AVE, EAST MEADOW, NY 11554-1556
(914) 376-6100
(914) 470-5056
Mailing address
325 MERRICK AVE, EAST MEADOW, NY 11554-1556
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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