OrganizationActive
9317 Medical Office PC
NPI 1871707372 · Internal Medicine Physician · Jackson Heights, NY
Provider details
- NPI number
- 1871707372
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandra Marrero, Office Manager(718) 446-0270
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Practice location
9317 Roosevelt Ave
Jackson Heights, NY 11372-7943
Phone: (718) 446-0270
Fax: (718) 446-5939
Approximate (ZIP-level) locationGet directions
Mailing address
9317 Roosevelt Ave
Jackson Heights, NY 11372-7943
Additional practice locations (1)
- 2645 Sw 37th Ave Ste 701Miami, FL 33133-2745Phone: (718) 489-9527Fax: (718) 446-5939
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2024-06-21
- Certified
- 2024-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.