Organization · Type 2 NPI
Good Medical Care, PLLC
Adult Medicine Physician · Ridgewood, NY
NPI number
1114477817
Active
Practice location
351 Onderdonk Ave
Ridgewood, NY 11385-1334
Fax (718) 418-6584
Mailing address
672 Dogwood Ave
Franklin Square, NY 11010-3247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 214540 (NY) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1114477817
Good Medical Care, PLLC's National Provider Identifier is 1114477817, issued on Oct 6, 2016. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Ridgewood, NY. The record was last updated on Oct 6, 2016.