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NPI Code Detail

MEDICARE: ALLIED MEDIX RESOURCES, INC.

MEDICARE: ALLIED MEDIX RESOURCES, INC.
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
1252Y00000XEarly Intervention Provider Agency009397NY

General Provider Information

NPI Number : 1568783876
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED MEDIX RESOURCES, INC.
Provider Business Mailing Address
First Line : 8829 201ST ST
Second Line :
City : HOLLIS
State : NY
Zip : 11423-2107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3310 QUEENS BLVD STE 301
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-2302
Country : US
Telephone Number : 718-593-4121
Fax Number :
Authorized Official
Title or Position : OTR/L / STAFF OT
Name : MR. MUHAMMAD ABDUL ALIM TAN
Credential :
Telephone Number : 516-620-3510
Provider Enumeration Date : 06/21/2010
Last Update Date : 06/21/2010

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Directions to “ALLIED MEDIX RESOURCES, INC. ” Practice Location

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