Metro Medical Practice Pc
Pediatric Adolescent Medicine
Metro Medical Practice Pc is a Kew Gardens, New York based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
11909 Metropolitan Ave, Kew Gardens, New York - 11415-2605. They can be contacted on phone at
718-850-9225 and fax number 718-850-9226.
NPI number (Unique professional ID) for Metro Medical Practice Pc is
1063098945 which was assigned by NPPES on 22 Mar, 2021 and it was last updated on 22 Mar, 2021.
Metro Medical Practice Pc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Metro Medical Practice Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Metro Medical Practice Pc |
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Business Address:
Metro Medical Practice Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11909 Metropolitan Ave
Kew Gardens, NY, 11415-2605
United States |
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| Phone Number : | 718-850-9225 |
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| Fax Number : | 718-850-9226 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063098945 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 22 Mar, 2021 |
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| Last Updated On : | 22 Mar, 2021 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Robert Gibbs |
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| Official Title or Position : | CREDENTIALING MANAGER |
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| Phone Number : | 718-313-0438 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Metro Medical Practice Pc are as mentioned. Primary taxonomy code for Metro Medical Practice Pc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Metro Medical Practice Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02244920 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11909 Metropolitan Ave
Kew Gardens, NY, 11415-2605
United States |
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| Phone Number : | 718-850-9225 |
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| Fax Number : | 718-850-9226 |
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Business Location:
Patients can refer following map for directions to
Metro Medical Practice Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.