Organization · Type 2 NPI
Divine Medical LLC
Primary Care Clinic/Center · Rosedale, NY
NPI number
1952920795
Active
Practice location
13163 233rd St # 1
Rosedale, NY 11422-1305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1952920795
Divine Medical LLC's National Provider Identifier is 1952920795, issued on Apr 12, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Rosedale, NY. The record was last updated on Apr 12, 2020.