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REGO PARK, NY 113744826
Organization
21ST CENTURY MEDICAL PLAZA PC
NPI 1760627582
Active
Family Medicine
Quick Facts
NPI Number
1760627582
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2008-12-08
Last Updated (NPPES)
2008-12-08
Primary Specialty / Taxonomy
| Taxonomy | Family Medicine |
| Taxonomy Code | 207Q00000X |
| License | 240556 NY |
Mailing Address
8716 63RD DRREGO PARK, NY 113744826
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.