MEDICAL PROFESSIONAL HEALTHCARE WOODSIDE P.C. NPI 1124781398

NPI Information

NPI: 1124781398
Provider Name: MEDICAL PROFESSIONAL HEALTHCARE WOODSIDE P.C.

Doing Business As: MEDPRO

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6527 ROOSEVELT AVE # 1A
WOODSIDE, NY
ZIP 11377
Phone: (718) 550-2273
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MEDICAL PROFESSIONAL HEALTHCARE WOODSIDE P.C. is a primary care clinic center in Woodside, NY. MEDICAL PROFESSIONAL HEALTHCARE WOODSIDE P.C. NPI is 1124781398. The provider is registered as an organization entity type.
The provider Is Doing Business As Medpro.

The provider's business location address is:

6527 ROOSEVELT AVE # 1A
WOODSIDE, NY
ZIP 11377-927
Phone: (718) 550-2273
Fax: (718) 550-2274

The provider's authorized official is Shahida Khan .
The authorized official title is Ceo and has the following contact phone number (516) 547-5418.

The CLIA number assigned to this NPI record is 33D2248035 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2021 and was last updated on 4/1/2024.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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