Complete Care Medical of N.y. P.c.

NPI #1346542818 in Ridgewood, New York

Provider Information

NPI Number: 1346542818
Entity Type: Organization
Organization Name: Complete Care Medical of N.y. P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 3, 2010
Last Updated: Jun 6, 2016

Practice Location

Address: 311 SAINT NICHOLAS AVE STE E
City: Ridgewood
State: New York
ZIP Code: 11385-2296
Phone: (718) 894-2500

Authorized Official

Name: MR. MARIANO MEDEROS, M.D.
Title: M.D.
Phone: (718) 894-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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