ACTIVE MEDICAL PC NPI 1952859746

NPI Information

ACTIVE MEDICAL PC is an obstetrics gynecology in Flushing, 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. ACTIVE MEDICAL PC NPI is 1952859746. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

43-44 KISSENA BLVD,
SUITE LA
FLUSHING, NY
ZIP 11355
Phone: (718) 878-2224

The provider's authorized official is David A Gluck .
The authorized official title is President and has the following contact phone number (718) 878-2224.

The enumeration date for this NPI number is 9/21/2016 and was last updated on 9/21/2016.

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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