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33D1002170 CLIA NUMBER - NY MEDICAL & HEALTH PC

Laboratory Demographics

CLIA Number: 33D1002170

Facility Name: NY MEDICAL & HEALTH PC

Facility Address:
104-20 QUEENS BOULEVARD SUITE 1 E
FOREST HILLS, NY
ZIP 11375
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Facility Phone Number: 718 897-0900

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1225126964

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 33D1002170
LAB Type Physician Office
Facility Name NY MEDICAL & HEALTH PC
Street 104-20 QUEENS BOULEVARD SUITE 1 E
City FOREST HILLS
State NY
ZIP 11375
Phone 718 897-0900
CertificateType 4
CertificateEffectiveDate 7/30/2022
CertificateExpirationDate 7/29/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024