Organization
MEDISCAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY AVIGDOR OTR (DIRECTOR)
(718) 571-8010
Entity
Organization
Contact information
Practice address
4125 163RD ST, FLUSHING, NY 11358-2657
(718) 571-8010
Mailing address
4125 163RD ST, FLUSHING, NY 11358-2657
(718) 571-8010
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
610419
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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