Organization
CURRENT NEW YORK MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHIRAZI SHIRAZI MD (CHIEF EXECUTIVE OFFICER)
(718) 672-4600
Entity
Organization
Contact information
Practice address
8306 QUEENS BLVD, ELMHURST, NY 11373-4245
(718) 672-4600
Mailing address
8306 QUEENS BLVD, ELMHURST, NY 11373-4245
(718) 672-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233538
NY
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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