Organization
EZ MEDHEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM DAVYDOV DO (MEDICAL DIRECTOR)
(718) 730-0100
Entity
Organization
Contact information
Practice address
101-20 QUEENS BLVD, EZ MEDHEALTH CARE PC, FOREST HILLS, NY 11375
(718) 730-0100
(718) 730-9439
Mailing address
101- 20 QUEENS BLVD, EZ MEDHEALTH CARE PC, FOREST HILLS, NY 11375
(718) 730-0100
(718) 730-9439
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632364
—
NY
Enumeration date
08/24/2006
Last updated
08/22/2020
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