21ST CENTURY MEDICAL PLAZA PC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1760627582- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8716 63RD DR, REGO PARK, NY, 113744826
- Phone
- (917) 400-2530
Specialties & Taxonomies
Family Medicine
Primary License: NY #240556
All Addresses
MAILING
8716 63RD DR
REGO PARK, NY, 113744826