Boulevard Multispecialty Medical PC
NPI #1730245366 in Ozone Park, New York
Provider Information
- NPI Number
- 1730245366
- Entity Type
- Organization
- Organization Name
- Boulevard Multispecialty Medical PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10149 WOOHAVEN BLVD
- City
- Ozone Park
- State
- New York
- ZIP Code
- 11416
- Phone
- (718) 641-4900
Authorized Official
- Name
- GORDON C DAVIS, DO
- Title
- MEDICAL DIRECTOR
- Phone
- (718) 641-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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