Organization
HOLLIS AK LLC
Active
Other names
HealthMed Diagnostic & Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARI KALONTAROV (PRESIDENT)
(347) 245-2279
Entity
Organization
Contact information
Practice address
19002 JAMAICA AVE, JAMAICA, NY 11423-2034
(718) 577-2211
(929) 399-7959
Mailing address
19002 JAMAICA AVE, JAMAICA, NY 11423-2034
(718) 577-2211
(929) 399-7959
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
11/06/2023
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