Divine Medical LLC

NPI #1952920795 in Rosedale, New York

Provider Information

NPI Number
1952920795
Entity Type
Organization
Organization Name
Divine Medical LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 12, 2020
Last Updated
Apr 12, 2020

Practice Location

Address
13163 233RD ST # 1
ZIP Code
11422-1305
Phone
(718) 525-3347

Authorized Official

Name
DR. AUGUSTINE UMEOZOR
Title
CEO/MEDICAL DIRECTOR
Phone
(917) 742-2442

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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