Organization Name: | RIGHT CHOICE PRIMARY CARE WALK-IN MEDICAL OFFICE |
NPI Number: | 1447667357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AIJAZ KHAN (PRESIDENT) |
Mailing Address: | 303 E. Park Avenue Suite E Long Beach |
State: | NY US |
Postal Code: | 11561 |
Phone Number: | 5168893282 |
Fax Number: | 5168893438 |
NPI Enumeration Date: | 07/14/2014 |
NPI Last Update Date: | 07/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 204962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |