112 GVR MEDICAL, PC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1649315771- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6960 108TH ST SUITE 108, FOREST HILLS, NY, 113754323
- Phone
- (718) 263-0200
- Fax
- (718) 263-0205
Specialties & Taxonomies
Family Medicine
Primary License: NY #220405