Organization
EDGAR FLORES-CASTILLO, MD PC
Active
Other names
Pediatric Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR ANTONIO FLORES-CASTILLO MD (PRESIDENT)
(718) 426-6270
Entity
Organization
Contact information
Practice address
4053 75TH ST, ELMHURST, NY 11373-1011
(718) 426-6270
(718) 426-6341
Mailing address
4053 75TH ST, ELMHURST, NY 11373-1011
(718) 426-6270
(718) 426-6341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
211365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01867376
—
NY
Enumeration date
06/20/2012
Last updated
06/20/2012
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