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NPI Code Detail

MEDICARE: HC GARCIA PHYSICIAN PC

MEDICARE: HC GARCIA PHYSICIAN PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center197478-1NY

General Provider Information

NPI Number : 1417201682
Entity Type Code : Organization
Provider Name (Legal Business Name) : HC GARCIA PHYSICIAN PC
Provider Business Mailing Address
First Line : 23405 88TH AVE
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11427-2707
Country : US
Telephone Number : 718-347-3240
Fax Number :
Provider Business Practice Location Address
First Line : 1865 HONE AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-1406
Country : US
Telephone Number : 718-823-9543
Fax Number : 718-823-5757
Authorized Official
Title or Position : OWNER
Name : DR. HORTENCIA C GARCIA
Credential : M.D.
Telephone Number : 718-347-3240
Provider Enumeration Date : 11/08/2012
Last Update Date : 11/08/2012

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