96TH STREET JUNCTION BLVD MEDICAL PC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1588157788- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5548 96TH ST, CORONA, NY, 11368
- Phone
- (718) 606-1199
Specialties & Taxonomies
Family Medicine
Primary
All Addresses
MAILING
5548 96TH ST
CORONA, NY, 113683009