Organization
NEW YORK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER EUGENE ISTOMIN MD (MEDICAL DIRECTOR)
(718) 656-6050
Entity
Organization
Contact information
Practice address
8708 JUSTICE AVE, SUITE 2E, ELMHURST, NY 11373-4575
(718) 565-6050
Mailing address
8708 JUSTICE AVE, SUITE 2E, ELMHURST, NY 11373-4575
(718) 565-6050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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