Organization
ICILMA V FERGUS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ICILMA V FERGUS MD (CEO)
(718) 670-1234
Entity
Organization
Contact information
Practice address
5801 MAIN ST, FLUSHING, NY 11355-5333
(212) 561-5792
(347) 923-9525
Mailing address
4 WAGON WHEEL DR, NEW CITY, NY 10956-1315
(718) 670-1234
(718) 661-7708
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
206086-1
NY
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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