Organization Name: | MULTI-MEDICINE OF NY,PC |
NPI Number: | 1659570059 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NITIN D NARKHEDE (PRESIDENT) |
Mailing Address: | 559 Atlantic Ave East Rockaway |
State: | NY US |
Postal Code: | 115181530 |
Phone Number: | 5165938333 |
Fax Number: | 5165938344 |
NPI Enumeration Date: | 07/16/2007 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 176728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |