Healthcare Provider Details

I. General information

NPI: 1770290215
Provider Name (Legal Business Name): HON MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8708 JUSTICE AVE STE C-IJ
ELMHURST NY
11373-4575
US

IV. Provider business mailing address

8708 JUSTICE AVE STE C-IJ
ELMHURST NY
11373-4575
US

V. Phone/Fax

Practice location:
  • Phone: 718-851-8881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JOHN HON
Title or Position: PRESIDENT
Credential: MD
Phone: 718-851-8881