Springfield Medical Group PC

NPI #1003168931 in Bayside, New York

Provider Information

NPI Number: 1003168931
Entity Type: Organization
Organization Name: Springfield Medical Group PC
Primary Specialty: Specialist
Enumeration Date: Oct 2, 2012
Last Updated: Oct 2, 2012

Practice Location

Address: 216-12 UNION TURNPIKE
City: Bayside
State: New York
ZIP Code: 11364
Phone: (718) 465-3200

Authorized Official

Name: MICHELLE LANDOY
Title: MEDICAL BILLER
Phone: (718) 465-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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