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Contact Information

ATLANTIC ENDOCRINOLOGY AND DIABETES PC
9725 63RD DR
REGO PARK, NY11374-2229
 Phone: 718-275-2900
 Fax: 718-275-2944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Podiatrist

213E00000X 48 Podiatry
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ATLANTIC ENDOCRINOLOGY AND DIABETES PC · (Female)

NPI Number 1407059199
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2007
Last updated 02/18/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 02148396
  • NY Medicaid 03436793
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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