Organization Name: | MARCO A. GARCIA, MD, PC |
NPI Number: | 1932326246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCO A GARCIA (OWNER) |
Mailing Address: | 9319 Roosevelt Ave Jackson Heights |
State: | NY US |
Postal Code: | 113727943 |
Phone Number: | 7188038463 |
Fax Number: | 7188038465 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |