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PREMIUM MEDICAL OF NEW YORK PC NPI 1386719557


NPI Information

NPI: 1386719557
Provider Name: PREMIUM MEDICAL OF NEW YORK PC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
147-09 ELM AVE
FLUSHING, NY
ZIP 11355
Phone: (718) 463-2630
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PREMIUM MEDICAL OF NEW YORK PC is a legal medicine in Flushing, NY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. PREMIUM MEDICAL OF NEW YORK PC NPI is 1386719557. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

147-09 ELM AVE
FLUSHING, NY
ZIP 11355
Phone: (718) 463-2630

The provider's authorized official is Christopher Georgiou .
The authorized official title is Sole Proprieter and has the following contact phone number (718) 463-2630.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal Medicine1937884NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101685730MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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