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Organization

786 MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUHAMMAD RAFIQ CHAUDHRY (AUTHORIZED OFFICIAL)
(212) 996-0006
Entity
Organization

Contact information

Practice address
3511 DITMARS BLVD, ASTORIA, NY 11105-2108
(212) 996-0006
Mailing address
3511 DITMARS BLVD, ASTORIA, NY 11105-2108

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
132562
NY

Other

Enumeration date
05/27/2006
Last updated
06/13/2008
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