Organization
RSTNRL MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMEEK SMITH (PRACTICE MANAGER)
(212) 925-8882
Entity
Organization
Contact information
Practice address
10614 70TH AVE, FOREST HILLS, NY 11375-4253
(718) 520-6620
(718) 520-6630
Mailing address
10614 70TH AVE, FOREST HILLS, NY 11375-4253
(718) 520-6620
(718) 520-6630
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
274962
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720217193
NPI
—
Enumeration date
07/17/2014
Last updated
07/17/2014
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