Organization
NYC LOCAL MEDICAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY MALOY MPA (OWNER)
(954) 558-2623
Entity
Organization
Contact information
Practice address
7134 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6137
(929) 234-2534
Mailing address
7134 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6137
(929) 234-2534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
113569
NY
207RI0200X
Infectious Disease Physician
Primary
113569
NY
363LP2300X
Primary Care Nurse Practitioner
113569
NY
Other
Enumeration date
11/15/2016
Last updated
12/22/2016
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