Organization
STAT MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIO VILLEGAS MD (DIRECTOR)
(718) 334-6716
Entity
Organization
Contact information
Practice address
9542 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-8012
(718) 334-6700
Mailing address
9320 ROOSEVELT AVE # A, JACKSON HEIGHTS, NY 11372-7904
(718) 334-6716
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01687163
—
NY
Enumeration date
09/05/2007
Last updated
09/05/2007
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