Organization · Type 2 NPI

124-15 Medical PC

Medical Specialty Clinic/Center · Richmond Hill, NY

NPI number 1811367329 Active

Practice location

12415 Jamaica Ave
Richmond Hill, NY 11418-2649

Mailing address

88 Cedar Rd
East Northport, NY 11731-4131

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

About NPI 1811367329

124-15 Medical PC's National Provider Identifier is 1811367329, issued on Sep 28, 2015. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Richmond Hill, NY. The record was last updated on Sep 28, 2015.