Medical Professional Healthcare Woodside P.c.

NPI #1124781398 in Woodside, New York

Provider Information

NPI Number: 1124781398
Entity Type: Organization
Organization Name: Medical Professional Healthcare Woodside P.c.
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 14, 2021
Last Updated: Oct 25, 2024

Practice Location

Address: 6527 ROOSEVELT AVE # 1A
City: Woodside
State: New York
ZIP Code: 11377-2927
Phone: (718) 550-2273

Authorized Official

Name: SHAHIDA KHAN, MD
Title: CEO
Phone: (718) 550-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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