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Organization

ADVANCED MEDICAL CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA GIBSON (MANAGER)
(718) 261-8068
Entity
Organization

Contact information

Practice address
10124 QUEENS BLVD STE A, FOREST HILLS, NY 11375-2703
(718) 261-8881
(718) 261-8889
Mailing address
10124 QUEENS BLVD STE A, FOREST HILLS, NY 11375-2703
(718) 261-8881
(718) 261-8889

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207UN0901X
Nuclear Cardiology Physician
Primary
2084N0400X
Neurology Physician
363AM0700X
Medical Physician Assistant
009605
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01908598
NY
05
02851334
NY
Enumeration date
11/13/2006
Last updated
05/03/2010
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