Organization
COUNTRY WIDE MEDICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WASHINGTON (GROUP MANAGER)
(516) 984-5834
Entity
Organization
Contact information
Practice address
13177 234TH ST, ROSEDALE, NY 11422-1311
(718) 527-1246
Mailing address
1979 MARCUS AVE STE 210, NEW HYDE PARK, NY 11042-1022
(516) 326-7772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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