My Choice Medical PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

60 094636 Issued in NY

Legal business name

MY CHOICE MEDICAL PC

Practice address

77 N Broadway
Hicksville, NY 11801-2946

Phone

(516) 605-0688

NPI assigned

Sep 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Qaiser Abbas

Title

MD

Phone

(516) 605-0688

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1669753471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012946",
            "telephone_number": "516-605-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHOICE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "QAISER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-605-0688"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "60 094636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.