Organization · Type 2 NPI

84 Street Medical PC

Obstetrics & Gynecology Physician · Jackson Heights, NY

NPI number 1780093153 Active

Practice location

3559 84th St
Jackson Heights, NY 11372-5367

Fax (718) 507-0330

Mailing address

1324 E 53rd St
Brooklyn, NY 11234-2312

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X244586 (NY)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1780093153

84 Street Medical PC's National Provider Identifier is 1780093153, issued on Aug 10, 2014. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Jackson Heights, NY. The record was last updated on Aug 10, 2014.