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General NPI Number Information
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NPI Number | 1710321070
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Entity Type | Organization
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Legal Business Name | DIRECT MEDICAL SOLUTIONS PC
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 2231 33RD ST
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City | ASTORIA
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State | NY
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Zip | 11105-2402
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Country | US
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Telephone | 516-413-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 2231 33RD ST
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City | ASTORIA
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State | NY
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Zip | 11105-2402
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Country | US
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Telephone | 516-413-2037
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARIA OROZCO
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Credential | CREDENTIAL
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Telephone | 941-766-8995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 222108-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 234166-1
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License Number State | NY
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