New York Innovative Medical Pllc

NPI #1447525662 in Rego Park, New York

Provider Information

NPI Number
1447525662
Entity Type
Organization
Organization Name
New York Innovative Medical Pllc
Primary Specialty
Clinic/Center
Enumeration Date
Mar 21, 2012
Last Updated
Mar 21, 2012

Practice Location

Address
8589 67TH AVE
ZIP Code
11374-5226
Phone
(917) 557-0202

Authorized Official

Name
MARIA DOLGOVINA, M.D.
Title
PRACTITIONER
Phone
(917) 557-0202

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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