Organization
WOODHAVEN PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM DEMOZ MD (MEDICAL DIRECTOR)
(347) 587-6727
Entity
Organization
Contact information
Practice address
6241 WOODHAVEN BLVD, REGO PARK, NY 11374
(347) 587-6727
Mailing address
6241 WOODHAVEN BLVD, REGO PARK, NY 11374
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NY
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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