Organization
LEFFERTS MEDICAL PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDIA CARRERO M.D. (OWNER)
(718) 205-4911
Entity
Organization
Contact information
Practice address
9001A ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7938
(718) 205-4911
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(531) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
02/07/2008
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