84 STREET MEDICAL PC NPI 1780093153

NPI Information

84 STREET MEDICAL PC is an obstetrics gynecology in Jackson Heights, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. 84 STREET MEDICAL PC NPI is 1780093153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3559 84TH ST
JACKSON HEIGHTS, NY
ZIP 11372-367
Phone: (718) 507-0300
Fax: (718) 507-0330

The provider's authorized official is Lucot Cherenfant .
The authorized official title is Doctor and has the following contact phone number (718) 507-0300.

The CLIA number assigned to this NPI record is 33D2083061 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2014 and was last updated on 8/10/2014.

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:

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