Main Street Medical, P.c. Pulmonary

NPI #1760446652 in Flushing, New York

Provider Information

NPI Number
1760446652
Entity Type
Organization
Organization Name
Main Street Medical, P.c. Pulmonary
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Apr 17, 2006
Last Updated
Dec 22, 2010

Practice Location

Address
5645 MAIN ST
ZIP Code
11355-5045
Phone
(718) 670-1405

Authorized Official

Name
MS. DORA HARTOFILIS
Title
ACTING DIRECTOR OF BILLING
Phone
(718) 661-8711

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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