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Organization

PREFERRED PLATINUM MEDICAL,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD H MCSHANE M.D (PRESIDENT)
(718) 545-3120
Entity
Organization

Contact information

Practice address
3051 36TH ST, ASTORIA, NY 11103-4704
(718) 545-3120
(718) 545-3122
Mailing address
3051 36TH ST, ASTORIA, NY 11103-4704
(718) 545-3120
(718) 545-3122

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
01/27/2011
Last updated
07/20/2012
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