WOODHAVEN PHYSICIAN PC NPI 1134369283

NPI Information

  • NPI: 1134369283
  • Provider Name: WOODHAVEN PHYSICIAN PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 6241 WOODHAVEN BLVD
    REGO PARK, NY
    ZIP 11374
  • Phone: (347) 587-6727

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NPI Details

WOODHAVEN PHYSICIAN PC is a general practice in Rego Park, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WOODHAVEN PHYSICIAN PC NPI is 1134369283. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6241 WOODHAVEN BLVD
REGO PARK, NY
ZIP 11374
Phone: (347) 587-6727

The provider's authorized official is Abraham Demoz .
The authorized official title is Medical Director and has the following contact phone number (347) 587-6727.

The enumeration date for this NPI number is 3/3/2009 and was last updated on 3/3/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNEW YORKYes

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: 11/21/2025

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