METRO PHYSICAL MEDICINE PC NPI 1679903413

NPI Information

METRO PHYSICAL MEDICINE PC is a specialist in Jamaica, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. METRO PHYSICAL MEDICINE PC NPI is 1679903413. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10825 MERRICK BLVD
JAMAICA, NY
ZIP 11433-906
Phone: (718) 658-9700
Fax: (718) 658-9703

The provider's authorized official is Samuel Theagene .
The authorized official title is Owner and has the following contact phone number (718) 658-9700.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 11/14/2013.

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:

Other Identifiers

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