Organization
MEDICAL CARE OF NY PC
Active
Parent organization
MEDICAL CARE OF NY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL CARE OF NY PC
Authorized official
NIBERTO ANGEL MORENO (OWNER)
(786) 360-4768
Entity
Organization
Contact information
Practice address
138-44 QUEENS BOULEVARD, STORES #3 AND #4, BRIARWOOD, NY 11435-2653
(718) 715-1828
(718) 715-1938
Mailing address
138-44 QUEENS BOULEVARD, STORES #3 AND #4, BRIARWOOD, NY 11435-2653
(718) 715-1828
(718) 715-1938
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
10/05/2022
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