Organization
63 ST MEDICAL HEATHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN ACARU M.D. (PRESIDENT)
(718) 205-2992
Entity
Organization
Contact information
Practice address
3939 63RD ST # 1A, WOODSIDE, NY 11377-3648
(718) 205-2992
Mailing address
3939 63RD ST # 1A, WOODSIDE, NY 11377-3648
(718) 205-2992
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
141555
NY
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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