Organization
BROADWAY MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILRUBA RASHIDUN NABI MD (PRESIDENT)
(917) 204-2067
Entity
Organization
Contact information
Practice address
4117 JUDGE ST FL 1, ELMHURST, NY 11373-2343
(717) 424-3131
(718) 606-6783
Mailing address
4114 JUDGE ST FL 1, ELMHURST, NY 11373-2344
(718) 424-3131
(718) 606-8783
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
NABI205570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01843681
—
NY
Enumeration date
08/23/2017
Last updated
08/23/2017
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