Organization
ABC MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE SANTANA (MEDICAL ASSISTANT)
(718) 932-1700
Entity
Organization
Contact information
Practice address
2126 BROADWAY, ASTORIA, NY 11106-4533
(718) 932-1700
Mailing address
2126 BROADWAY, ASTORIA, NY 11106-4533
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01134023
—
NY
Enumeration date
06/29/2007
Last updated
02/15/2024
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