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NPI Code Detail

MEDICARE: DOC AT HOME MEDICAL, P.C.

MEDICARE: DOC AT HOME MEDICAL, P.C.
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1942621511
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOC AT HOME MEDICAL, P.C.
Provider Business Mailing Address
First Line : 535 5TH AVE FL 4
Second Line :
City : NEW YORK
State : NY
Zip : 10017-8020
Country : US
Telephone Number : 888-496-5115
Fax Number : 866-223-7072
Provider Business Practice Location Address
First Line : 535 5TH AVE FL 4
Second Line :
City : NEW YORK
State : NY
Zip : 10017-8020
Country : US
Telephone Number : 888-496-5115
Fax Number : 516-612-4975
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. REGINALD D HUGHES
Credential : MD
Telephone Number : 855-865-9697
Provider Enumeration Date : 12/26/2013
Last Update Date : 07/11/2023

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Directions to “DOC AT HOME MEDICAL, P.C. ” Practice Location

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