21ST CENTURY MEDICAL PLAZA PC

REGO PARK, NY
NPI1760627582
Entity TypeOrganization
Authorized ContactIRINA BENYAMINOVA
President
917-400-2530
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  240556)
Enumeration Date2008-12-08
Last Update Date2008-12-08
Business Address
21ST CENTURY MEDICAL PLAZA PC
8716 63RD DR
REGO PARK, NY 11374-4826
Phone number: 917-400-2530
Mailing Address
21ST CENTURY MEDICAL PLAZA PC
8716 63RD DR
REGO PARK, NY 11374-4826
Phone number: