Organization
FRESH MEADOWS PHYSICIAN PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEYMAN E YOUNESI MD (OWNER)
(718) 708-0940
Entity
Organization
Contact information
Practice address
9131 175TH ST, JAMAICA, NY 11432-5517
(718) 709-0940
Mailing address
6136 170TH ST APT M4, FRESH MEADOWS, NY 11365-1957
(718) 709-0940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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