Organization
BAXTER MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDY NNSEWO MD (PRESIDENT)
(516) 236-0336
Entity
Organization
Contact information
Practice address
17121 JAMAICA AVE, JAMAICA, NY 11432-5427
(718) 521-4442
(718) 305-4568
Mailing address
13130A MERRICK BLVD, JAMAICA, NY 11434-4134
(718) 233-2556
(718) 233-2569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234005
NY
Other
Enumeration date
01/30/2015
Last updated
06/07/2022
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