JESUS PICHARDO MD PC
Ambulatory Health at Weirfield St, Flushing, NY

License number
New York 188066
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JESUS MANUEL PICHARDO M.D.
Title: PEDIATRIC
Phone: (718) 456-4600
Address
Address
1623 Weirfield St, Flushing, NY 11385
National Provider ID: 1295902468
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JESUS PICHARDO, M.D., PC

Flushing, NY

Status:
Inactive
Industry:
Medical Doctor's Office, Pediatrician
Doing business as:
Jesus Pichardo MD
Registration:
Jun 10, 1994
Phone:
(718) 456-4600 (Phone)
Addresses:
351 St Nicholas Ave, Ridgewood, NY 11385 (Physical)
351 Saint Nicholas Ave, Flushing, NY 11385
1623 Weirfield St, Ridgewood, NY 11385
State ID:
1828162
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Principal:
Jesus Pichardo (Principal), 351 St Nicholas Ave, Ridgewood, NY 11385 (Physical)

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