Organization
BETHESDAMD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN TAI DO (MANAGER)
(516) 330-6579
Entity
Organization
Contact information
Practice address
13516 NORTHERN BLVD, FLUSHING, NY 11354-4007
(516) 330-6579
Mailing address
13516 NORTHERN BLVD, FLUSHING, NY 11354-4007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229673
NY
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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