Organization · Type 2 NPI
The Beauty Source Inc.
Primary Care Clinic/Center · Fresh Meadows, NY
NPI number
1508616301
Active
Practice location
16602 76th Ave
Fresh Meadows, NY 11366-1253
Fax (718) 223-5701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Fresh Meadows
About NPI 1508616301
The Beauty Source Inc.'s National Provider Identifier is 1508616301, issued on Mar 25, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fresh Meadows, NY. The record was last updated on Mar 25, 2024.