TD ADVANCED MEDICAL PC

QUEENS VILLAGE, NY
NPI1760714349
Entity TypeOrganization
Authorized ContactLESLIE THEODORE
President
718-740-4984
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2010-02-05
Last Update Date2010-02-05
Business Address
TD ADVANCED MEDICAL PC
11054 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11429-2521
Phone number: 718-740-4984
Mailing Address
TD ADVANCED MEDICAL PC
683 HALF HOLLOW RD
DIX HILLS, NY 11746-6232
Phone number: