NPI 1649605932

Ghumman Medical Care PLLC

Organisation Health Maintenance Organization Queens Village, NY

Practice location

Address: 21838 Hillside Ave, Queens Village, NY 11427-1916
Phone: (718) 465-7746
Mailing address: 237 Center St, Williston Park, NY 11596-1006

Authorised official

Name: Chaudhry M Ghumman
Title: Managing Member
Phone: (718) 465-7746

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 189683 (NY)

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Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 189683 (NY)

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Registry record

NPI: 1649605932
Entity type: Organization
NPI issued: 5 Sep 2013
Record last updated: 5 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.