Organization
FLEET MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENIGNO R SALES JR. MD (OWNER)
(718) 648-5858
Entity
Organization
Contact information
Practice address
6607 ALDERTON ST, REGO PARK, NY 11374-5234
(718) 648-5858
Mailing address
6607 ALDERTON ST, REGO PARK, NY 11374-5234
(718) 648-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
119359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00223689
—
NY
Enumeration date
08/05/2008
Last updated
08/05/2008
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