4Th Ave Garden City Park Corp

Specialty details in registry · Westbury, NY

Call (516) 876-8667 Directions

At a glance

250 Grand Blvd, Westbury, NY 11590-3541

NPPES record updated Feb 4, 2017. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

250 Grand Blvd
Westbury, NY 11590-3541
Professional details: NPI, taxonomy & registry record
NPI1063950509
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
344600000X
Enumeration date
Feb 4, 2017
Record updated
Feb 4, 2017
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

344600000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

250 Grand Blvd
Westbury, NY 11590-3541
Phone
(516) 876-8667
Fax
(516) 876-8828
Mailing address
250 GRAND BLVD

WESTBURY, NY 115903541
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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