Organization
MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG ARONOV (MANAGING MEMBER)
(718) 275-8900
Entity
Organization
Contact information
Practice address
11129 QUEENS BLVD, FOREST HILLS, NY 11375-5553
(718) 275-8900
Mailing address
11129 QUEENS BLVD, FOREST HILLS, NY 11375-5553
(718) 275-8900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
09/29/2020
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