112 GVR MEDICAL, PC

FOREST HILLS, NY
NPI1649315771
Entity TypeOrganization
Authorized ContactIDA TETRO
Owner
718-263-0200
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  220405)
Enumeration Date2007-02-20
Last Update Date2020-08-22
Business Address
112 GVR MEDICAL, PC
6960 108TH ST SUITE 108
FOREST HILLS, NY 11375-4323
Phone number: 718-263-0200
Mailing Address
112 GVR MEDICAL, PC
6960 108TH ST SUITE 108
FOREST HILLS, NY 11375-4323
Phone number: 718-263-0200
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