Optimum Medical NY PC

NPI #1619218039 in Woodmere, New York

Provider Information

NPI Number: 1619218039
Entity Type: Organization
Organization Name: Optimum Medical NY PC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 11, 2013
Last Updated: Mar 11, 2013

Practice Location

Address: 317 EASTWOOD RD
City: Woodmere
State: New York
ZIP Code: 11598-1635
Phone: (917) 295-3617

Authorized Official

Name: NATASHA FUKSINA, M.D.
Title: PRESIDENT
Phone: (917) 295-3617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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