Organization
MEADOW MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANS CREVECOEUR M.D. (MEDICAL DIRECTOR)
(718) 354-6810
Entity
Organization
Contact information
Practice address
25 CENTRAL PARK W, NEW YORK, NY 10023-7253
(718) 354-6810
Mailing address
565 CONWAY RD, ELMONT, NY 11003-3519
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3272
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3272
AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.
NY
Enumeration date
11/17/2016
Last updated
11/17/2016
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