33D2278692 CLIA NUMBER - IHOTU MEDICINE PC

Laboratory Demographics

CLIA Number: 33D2278692

Facility Name: IHOTU MEDICINE PC

Facility Address:
73-21 37TH ROAD
JACKSON HEIGHTS, NY
ZIP 11372
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Facility Phone Number: 914 943-0888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487055208

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	33D2278692
LAB Type	Physician Office
Facility Name	IHOTU MEDICINE PC
Street	73-21 37TH ROAD
City	JACKSON HEIGHTS
State	NY
ZIP	11372
Phone	914 943-0888
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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