PREMIUM MEDICAL OF NY,PC

FLUSHING, NY
NPI1972869675
Entity TypeOrganization
Authorized ContactCHRISTOPHER GEORGIOU
President
718-445-1223
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: NY  193788)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  193788)
Enumeration Date2012-04-06
Last Update Date2012-04-06
Business Address
PREMIUM MEDICAL OF NY,PC
14709 ELM AVE SUITE B1
FLUSHING, NY 11355-1705
Phone number: 718-445-1223
Mailing Address
PREMIUM MEDICAL OF NY,PC
14709 ELM AVE SUITE B1
FLUSHING, NY 11355-1705
Phone number: 718-445-1223