| NPI | 1144854811 |
|---|---|
| Former Legal Business Name | NYC MEDICAL OF QUEENS PC |
| Entity Type | Organization |
| Authorized Contact | JOSE ENRIQUE ORTIZ President 718-406-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |