Organization
PANAMERICAN MEDICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS AUGUSTO MONTENEGRO M.D. (GENERAL DIRECTOR)
(718) 385-9180
Entity
Organization
Contact information
Practice address
9511 99TH AVE, OZONE PARK, NY 11416-2515
(718) 385-9180
(718) 385-9477
Mailing address
8915 175TH ST, JAMAICA, NY 11432-5533
(718) 385-9180
(718) 385-9477
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
227588
NY
Other
Enumeration date
07/27/2006
Last updated
09/29/2014
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