Organization · Type 2 NPI
Broadway Internal Medicine P.c
Community Health Clinic/Center · Elmhurts, NY
NPI number
1124265848
Active
Practice location
7517 41st Avenue
Elmhurts, NY 11373
Fax (718) 803-0085
Mailing address
7517 41st Ave
Elmhurst, NY 11373-1004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | 156591 (NY) |
Community Health Clinic/Center: Definition to come...
About NPI 1124265848
Broadway Internal Medicine P.c's National Provider Identifier is 1124265848, issued on Jan 16, 2009. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Elmhurts, NY. The record was last updated on Jan 16, 2009.