Organization
ROOSEVELT MEDICAL SERVICES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO RODRIGO HARO M.D. (PRESIDENT)
(718) 426-9486
Entity
Organization
Contact information
Practice address
6709 ROOSEVELT AVE, 1ST FLOOR, WOODSIDE, NY 11377-2923
(718) 426-9486
(718) 426-9302
Mailing address
6709 ROOSEVELT AVE, 1ST FLOOR, WOODSIDE, NY 11377-2923
(718) 426-9486
(718) 426-9302
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
03/09/2018
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