Td Advanced Medical PC
NPI #1760714349 in Queens Village, New York
Provider Information
- NPI Number
- 1760714349
- Entity Type
- Organization
- Organization Name
- Td Advanced Medical PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 5, 2010
- Last Updated
- Feb 5, 2010
Practice Location
- Address
- 11054 SPRINGFIELD BLVD
- City
- Queens Village
- State
- New York
- ZIP Code
- 11429-2521
- Phone
- (718) 740-4984
Authorized Official
- Name
- DR. LESLIE THEODORE
- Title
- PRESIDENT
- Phone
- (718) 740-4984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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