NPI | 1740293786 |
---|---|
Doing Business As | AIRPORT MEDICAL OFFICES AT LGA |
Entity Type | Organization |
Authorized Contact | OLEG OLSHANETSKIY Medical Director 712-244-1644 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-08-22 |