Provider Demographics
NPI:1205180544
Name:METRO POINT MEDICAL, PC
Entity Type:Organization
Organization Name:METRO POINT MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAYNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-275-5400
Mailing Address - Street 1:9614 63RD DR
Mailing Address - Street 2:302
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2255
Mailing Address - Country:US
Mailing Address - Phone:718-275-5400
Mailing Address - Fax:718-275-5470
Practice Address - Street 1:9614 63RD DR
Practice Address - Street 2:SUITE 302
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2255
Practice Address - Country:US
Practice Address - Phone:718-275-5400
Practice Address - Fax:718-275-5470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2314882081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty