DIVINE MEDICAL LLC

ROSEDALE, NY
NPI1952920795
Entity TypeOrganization
Authorized ContactAUGUSTINE UMEOZOR
CEO/Medical Director
917-742-2442
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2020-04-12
Last Update Date2020-04-12
Business Address
DIVINE MEDICAL LLC
13163 233RD ST # 1
ROSEDALE, NY 11422-1305
Phone number: 718-525-3347
Mailing Address
DIVINE MEDICAL LLC
13163 233RD ST # 1
ROSEDALE, NY 11422-1305
Phone number: