63 St Medical Heathcare PC

NPI #1396012324 in Woodside, New York

Provider Information

NPI Number: 1396012324
Entity Type: Organization
Organization Name: 63 St Medical Heathcare PC
Primary Specialty: General Practice
Enumeration Date: Nov 18, 2011
Last Updated: Nov 18, 2011

Practice Location

Address: 3939 63RD ST # 1A
City: Woodside
State: New York
ZIP Code: 11377-3648
Phone: (718) 205-2992

Authorized Official

Name: DR. DAN ACARU, M.D.
Title: PRESIDENT
Phone: (718) 205-2992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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