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NPI Code Detail

MEDICARE: PHYSICIANS OF THE FUTURE MEDGROUP PLLC

MEDICARE: PHYSICIANS OF THE FUTURE MEDGROUP PLLC
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 Physician

General Provider Information

NPI Number : 1437575966
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS OF THE FUTURE MEDGROUP PLLC
Provider Business Mailing Address
First Line : 2910 EXTERIOR ST FL 1
Second Line :
City : BRONX
State : NY
Zip : 10463-7104
Country : US
Telephone Number : 212-567-4918
Fax Number :
Provider Business Practice Location Address
First Line : 2910 EXTERIOR ST FL 1
Second Line :
City : BRONX
State : NY
Zip : 10463-7104
Country : US
Telephone Number : 212-567-4918
Fax Number :
Authorized Official
Title or Position : PRESIDENT & OWNER
Name : CANDIDO NORBERTO
Credential : MD
Telephone Number : 212-567-4918
Provider Enumeration Date : 03/07/2014
Last Update Date : 06/12/2023

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Directions to “PHYSICIANS OF THE FUTURE MEDGROUP PLLC ” Practice Location

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