Organization
MEDEA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMARI CHUBINIDZE MD (MEDICAL DIRECTOR)
(718) 225-3001
Entity
Organization
Contact information
Practice address
6829 SPRINGFIELD BLVD, OAKLAND GDNS, NY 11364-2632
(718) 225-3001
(718) 225-3002
Mailing address
6829 SPRINGFIELD BLVD, OAKLAND GDNS, NY 11364-2632
(718) 225-3001
(718) 225-3002
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
285269
NY
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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