INTERNATIONAL MEDICAL SERVICES
Managed Care Organizations at 175 St, Jamaica, NY

License number
New York 227588
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. CARLOS AUGUSTO MONTENEGRO MD
Title: CEO
Phone: (718) 322-2688
Address
Address
8915 175Th St, Jamaica, NY 11432
National Provider ID: 1073708574
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INTERNATIONAL MEDICAL SERVICES at bizstanding.com

INTERNATIONAL MEDICAL SERVICES PC

Jamaica, NY

Status:
Inactive
Industry:
Health Practitioner's Office
Doing business as:
International Medical Services
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Mar 12, 2004
Inactive since:
Jan 25, 2012
Addresses:
89-15 175 St, Jamaica, NY 11432 (Physical)
8915 175 St, Jamaica, NY 11432
State ID:
3025698
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Chief Executive Officer, Medical Doctor, Principal:
Carlos A Montenegro Chief Executive Officer, Medical Doctor, Principal, inactive, 95-11 99 Ave, Ozone Park, NY 11416 (Physical)

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