Four Corners Medical PC
NPI #1356071526 in Richmond Hill, New York
Provider Information
- NPI Number
- 1356071526
- Entity Type
- Organization
- Organization Name
- Four Corners Medical PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 12, 2022
- Last Updated
- May 21, 2025
Practice Location
- Address
- 11622 METROPOLITAN AVE
- City
- Richmond Hill
- State
- New York
- ZIP Code
- 11418-1017
- Phone
- (347) 466-3605
Authorized Official
- Name
- JEAN-YVES DASTAIN, MD
- Title
- OWNER
- Phone
- (347) 466-3605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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