Provider Demographics
NPI:1124225032
Name:FRESH MEADOWS MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:FRESH MEADOWS MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOMOGYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-224-5687
Mailing Address - Street 1:567 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3708
Mailing Address - Country:US
Mailing Address - Phone:718-832-9237
Mailing Address - Fax:
Practice Address - Street 1:4223 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2580
Practice Address - Country:US
Practice Address - Phone:718-224-5687
Practice Address - Fax:718-224-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty