Organization
MG MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FLORES (CREDENTIALING SPECIALIST)
(718) 313-0438
Entity
Organization
Contact information
Practice address
9 ROSEANNE DR, WOODBURY, NY 11797-1905
(646) 508-9166
Mailing address
4802 25TH AVE, ASTORIA, NY 11103-1021
(718) 619-9010
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
274698
NY
Other
Enumeration date
07/27/2016
Last updated
12/04/2023
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