Organization
MULTIMEDIC MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DELEON MD (PRESIDENT)
(347) 242-4436
Entity
Organization
Contact information
Practice address
1070 SOUTHERN BLVD, BRONX, NY 10459-3268
(347) 242-4436
Mailing address
96 LINWOOD PLZ # 410, FORT LEE, NJ 07024-3701
(347) 242-4436
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
186141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82K211
MEDICARE
—
Enumeration date
06/25/2012
Last updated
10/02/2015
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