Organization · Type 2 NPI

Phoenix Medical Office PLLC

Geriatric Medicine (Internal Medicine) Physician · Elmhurst, NY

NPI number 1770919466 Active

Practice location

5223 Van Loon St
Elmhurst, NY 11373-4258

Call (646) 943-1588 Map

Mailing address

19614 58th Ave # 1F
Fresh Meadows, NY 11365-2306

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300X241558 (NY)

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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About NPI 1770919466

Phoenix Medical Office PLLC's National Provider Identifier is 1770919466, issued on Sep 25, 2013. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Elmhurst, NY. The record was last updated on Aug 19, 2026.