Organization
COMPLETE MEDICAL NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA IZRAILOV (OFFICE MANAGER)
(718) 850-6345
Entity
Organization
Contact information
Practice address
13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4895
Mailing address
13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
244295
NY
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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