Active Medical PC

NPI #1952859746 in Flushing, New York

Provider Information

NPI Number
1952859746
Entity Type
Organization
Organization Name
Active Medical PC
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Sep 21, 2016
Last Updated
Sep 21, 2016

Practice Location

Address
43-44 KISSENA BLVD,
Address 2
SUITE LA
ZIP Code
11355
Phone
(718) 878-2224

Authorized Official

Name
DAVID A GLUCK, MD
Title
PRESIDENT
Phone
(718) 878-2224

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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