Organization
LIFECO MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J AQUINO MD (PRESIDENT)
(718) 423-0808
Entity
Organization
Contact information
Practice address
7035 113TH ST, FOREST HILLS, NY 11375-4651
(718) 423-0808
Mailing address
PO BOX 32635, HARTFORD, CT 06150-2635
(718) 423-0808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NY
207RP1001X
Pulmonary Disease Physician
—
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
NY
213E00000X
Podiatrist
—
NY
Other
Enumeration date
07/10/2006
Last updated
07/07/2008
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