Organization
25-15 CRESCENT STREET MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GOHAR MD (OWNER)
(718) 897-5331
Entity
Organization
Contact information
Practice address
10818 63RD RD, FOREST HILLS, NY 11375-1352
(718) 897-5331
Mailing address
10818 63RD RD, FOREST HILLS, NY 11375-1352
(718) 897-5331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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