Individual
EMILIO GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 NASSAU RD, LONG ISLAND FQHC, INC., ROOSEVELT, NY 11575-1343
(516) 571-8600
Mailing address
380 NASSAU RD, LONG ISLAND FQHC, INC., ROOSEVELT, NY 11575-1343
(516) 571-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148197-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01573160
—
NY
Enumeration date
03/22/2006
Last updated
02/25/2014
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