Organization
CORRECTIONAL MEDICAL ASSOCIATES OF NEWYORK, P.C.
Active
Other names
PHS Medical Services, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY COWAN M.D. (MEDICAL DIRECTOR)
(347) 774-7015
Entity
Organization
Contact information
Practice address
4904 19TH AVE, ASTORIA, NY 11105-1002
(347) 774-7015
(347) 774-8051
Mailing address
4904 19TH AVE, ASTORIA, NY 11105-1002
(347) 774-7015
(347) 774-8051
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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