Organization
1ST CHOICE MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINETTE GORMEZANO (PRESIDENT)
(516) 812-8844
Entity
Organization
Contact information
Practice address
33 WEST HAWTHORNE AVE, SUITE 22, VALLEY STREAM, NY 11580
(516) 812-8844
(888) 218-9150
Mailing address
33 WEST HAWTHORNE AVE, SUITE 22, VALLEY STREAM, NY 11580
(516) 812-8844
(888) 218-9150
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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