Organization · Type 2 NPI

Boulevard Multispecialty Medical PC

Multi-Specialty Clinic/Center · Ozone Park, NY

NPI number 1730245366 Active

Practice location

10149 Woohaven Blvd
Ozone Park, NY 11416

Fax (718) 641-4905

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X24145 (NY)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1730245366

Boulevard Multispecialty Medical PC's National Provider Identifier is 1730245366, issued on Dec 28, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Ozone Park, NY. The record was last updated on Aug 22, 2020.