MAIN STREET MEDICAL PC NPI 1306812003

NPI Information

MAIN STREET MEDICAL, PC is a cardiovascular disease internal medicine in Flushing, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MAIN STREET MEDICAL, PC NPI is 1306812003. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (718) 670-1234

The provider's authorized official is Dora Hartofilis .
The authorized official title is Acting Director, Billing and has the following contact phone number (718) 661-8711.

The CLIA number assigned to this NPI record is 33D2136025 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 12/22/2010.

Taxonomy Codes

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Other Identifiers

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