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NPI Code Detail

MEDICARE: NEW YORK INTERNAL MEDICINE PC

MEDICARE: NEW YORK INTERNAL MEDICINE PC
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
1207R00000XInternal Medicine Physician267642-1NY

General Provider Information

NPI Number : 1265816359
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK INTERNAL MEDICINE PC
Provider Business Mailing Address
First Line : 2818 STEINWAY ST
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3349
Country : US
Telephone Number : 718-746-9494
Fax Number : 718-746-4963
Provider Business Practice Location Address
First Line : 2818 STEINWAY ST
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3349
Country : US
Telephone Number : 718-746-9494
Fax Number : 718-746-4963
Authorized Official
Title or Position : PRESIDENT
Name : AYMAN ATTIA ALLA
Credential : MD
Telephone Number : 718-746-9494
Provider Enumeration Date : 07/17/2015
Last Update Date : 07/17/2015

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Directions to “NEW YORK INTERNAL MEDICINE PC ” Practice Location

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