OrganizationActive
63 St Medical Heathcare PC
NPI 1396012324 · General Practice Physician · Woodside, NY
Provider details
- NPI number
- 1396012324
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Dan Acaru, President
- License
- 141555 (NY)
Mailing address
3939 63rd St # 1a
Woodside, NY 11377-3648
Registry dates
- Enumerated
- 2011-11-18
- Last updated
- 2011-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.