Organization
MB MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO MELAMEDOFF M.D. (DOCTOR)
(718) 424-0339
Entity
Organization
Contact information
Practice address
8708 JUSTICE AVE, SUITE C8, ELMHURST, NY 11373-4575
(718) 424-0339
(718) 424-4868
Mailing address
8708 JUSTICE AVE, SUITE C8, ELMHURST, NY 11373-4575
(718) 424-0339
(718) 424-4868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
148336
NY
207RC0000X
Cardiovascular Disease Physician
Primary
130526
NY
Other
Enumeration date
11/28/2006
Last updated
08/08/2008
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