Organization
GITY PRO GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MARKAKIS D.O. (DIRECTOR OF OPERATIONS)
(718) 769-2698
Entity
Organization
Contact information
Practice address
14934 121ST ST, SOUTH OZONE PARK, NY 11420-4019
(718) 848-8742
Mailing address
14934 121ST STREET, SOUTH OZONE PARK, NY 11420
(718) 848-8742
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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