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Contact Information

75TH STREET MEDICAL PC
3756 75TH ST
JACKSON HEIGHTS, NY11372-6496
 Phone: 718-426-9717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for 75TH STREET MEDICAL PC · (Female)

NPI # 1205173531
Status Active
Credentials
Entity Individual
Enumeration date 01/07/2013
Last updated 01/07/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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