Healthcare Provider Details

I. General information

NPI: 1528765526
Provider Name (Legal Business Name): MDRX SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12210 109TH AVE
S OZONE PARK NY
11420-1408
US

IV. Provider business mailing address

12210 109TH AVE
S OZONE PARK NY
11420-1408
US

V. Phone/Fax

Practice location:
  • Phone: 718-873-4201
  • Fax:
Mailing address:
  • Phone: 718-873-4201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAN NOOR
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 718-873-4201