Organization
MEDICAL PROFESSIONAL GROUP
Active
Other names
MEDICAL PROFESSIONAL GROUP, OMNICARE PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
GINA DUVAL (ADMINSTRATOR)
(718) 433-0044
Entity
Organization
Contact information
Practice address
3110 37TH AVE STE 203, LONG ISLAND CITY, NY 11101-2112
(718) 433-0044
(718) 433-4644
Mailing address
3110 37TH AVE STE 202, LONG ISLAND CITY, NY 11101-2112
(718) 433-0044
(718) 255-6555
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
163744
NY
Other
Enumeration date
11/02/2010
Last updated
10/30/2025
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