Organization
GHUMMAN MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUDHRY M GHUMMAN MD (MANAGING MEMBER)
(718) 465-7746
Entity
Organization
Contact information
Practice address
21838 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1916
(718) 465-7746
Mailing address
237 CENTER ST, WILLISTON PARK, NY 11596-1006
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
189683
NY
305R00000X
Preferred Provider Organization
189683
NY
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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