Organization
CROSS ISLAND MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIMANSHU PANDYA MD (PRESIDENT)
(917) 903-3885
Entity
Organization
Contact information
Practice address
13525 79TH ST, HOWARD BEACH, NY 11414-1010
(917) 903-3885
Mailing address
13525 79TH ST, HOWARD BEACH, NY 11414-1010
(917) 903-3885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/10/2019
Last updated
06/04/2020
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