PREMIUM MEDICAL OF NEW YORK PC – NPI #1386719557
Legal Medicine

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

PREMIUM MEDICAL OF NEW YORK PC is a provider located in FLUSHING, NY. NPPES has assigned the NPI number 1386719557 to PREMIUM MEDICAL OF NEW YORK PC on November 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 173000000X from the Health Care Provider Taxonomy code set, which is classified as Legal Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. See the complete NPI profile for PREMIUM MEDICAL OF NEW YORK PC below.

NPI Profile for
PREMIUM MEDICAL OF NEW YORK PC

NPI Number
1386719557
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIUM MEDICAL OF NEW YORK PC
Primary location
147-09 ELM AVE
FLUSHING, NY 11355
Phone: (718) 463-2630 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER GEORGIOU
SOLE PROPRIETER
Phone: (718) 463-2630
Updated
Identifiers

Identifiers for PREMIUM MEDICAL OF NEW YORK PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01685730
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
173000000X
- Legal Medicine (Primary)
NY 1937884

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.