Organization
UP TO DATE MEDICAL HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY KATECHIS M.D. (PHYSICIAN)
(718) 204-7550
Entity
Organization
Contact information
Practice address
2747 CRESCENT ST STE 104, ASTORIA, NY 11102-3142
(718) 204-7550
(718) 204-7566
Mailing address
2747 CRESCENT ST STE 104, ASTORIA, NY 11102-3142
(718) 204-7550
(718) 204-7566
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
237602
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273915
—
NY
Enumeration date
12/28/2006
Last updated
10/09/2019
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