Organization
KWEIBA MEDICAL PC
Active
Parent organization
SPRING FORTH MEDICAL P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRING FORTH MEDICAL P.C.
Authorized official
BAABA BLANKSON MD (FOUNDER AND PRESIDENT)
(937) 617-1197
Entity
Organization
Contact information
Practice address
7143 SUTTON PL APT 3, FRESH MEADOWS, NY 11365-4584
(917) 617-1197
Mailing address
7529 PARSONS BLVD # 1018, FRESH MEADOWS, NY 11366-1037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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