METRO PHYSICAL MEDICINE PC

JAMAICA, NY
NPI1679903413
Entity TypeOrganization
Authorized ContactSAMUEL THEAGENE
Owner
718-658-9700
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  194218)
Enumeration Date2013-11-14
Last Update Date2013-11-14
Business Address
METRO PHYSICAL MEDICINE PC
10825 MERRICK BLVD
JAMAICA, NY 11433-2906
Phone number: 718-658-9700
Mailing Address
METRO PHYSICAL MEDICINE PC
10825 MERRICK BLVD
JAMAICA, NY 11433-2906
Phone number: 718-658-9700
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