Organization
CITIMED COMPLETE MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MOSHE MD (MEDICAL DIRECTOR)
(718) 509-9424
Entity
Organization
Contact information
Practice address
6555 WOODHAVEN BLVD FL 2, REGO PARK, NY 11374-5048
(718) 255-6515
Mailing address
6336 99TH ST FL 1, REGO PARK, NY 11374-1979
(718) 509-9424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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