MEDICARE: DS MEDICAL PLLC

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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1477492668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DS MEDICAL PLLC

Provider Business Mailing Address
First Line	:	2542 MOTT AVE
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-1712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2542 MOTT AVE
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-1712
Country	:	US
Telephone Number	:	917-202-6540
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DAVID STREICHER
Credential	:	DO
Telephone Number	:	917-202-6540

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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