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FOUR CORNERS MEDICAL PC
NPI 1356071526
Internal Medicine in Richmond Hill, NY

Active since June 12, 2022
11622 METROPOLITAN AVE, RICHMOND HILL, NY 11418(347) 466-3605(347) 317-7895 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2025, Mar 1, 2023, Jun 12, 2022 (3 updates tracked since 2022).

About Four Corners Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR CORNERS MEDICAL PC (NPI 1356071526) is a healthcare organization registered as an internal medicine in Richmond Hill, New York and active in the NPI registry since June 2022. The organization maintains a secondary practice location in Middle Village and lists Jean-yves Dastain, Owner, as its authorized official.

NPPES Registry Identity

NPI1356071526
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFOUR CORNERS MEDICAL PC
Location Address11622 METROPOLITAN AVERichmond Hill, NY 11418-1017
Mailing Address7907 Metropolitan AveMiddle Village, NY 11379-2930 · (347) 466-3605 · Fax (347) 317-7895
Phone(347) 466-3605
Fax(347) 317-7895
Organization SubpartNo
Authorized OfficialJean-yves DastainOwner · (347) 466-3605
Enumeration DateJune 12, 2022
Last NPPES UpdateMay 21, 20253 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1356071526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11622 METROPOLITAN AVE, Richmond Hill, NY 11418
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Secondary Practice Location 1

Location 17907 Metropolitan AveMiddle Village, NY 11379-2930 · Phone (347) 466-3605 · Fax (347) 317-7895

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEONARD ALAN RICKMAN D.P.M.
Podiatrist (Primary Podiatric Medicine)
11622 METROPOLITAN AVE
KEW GARDENS, NY 11418
Queens County (718) 441-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Corners Medical PC's NPI number?

The NPI number for Four Corners Medical PC is 1356071526. It was assigned to this organization in the NPPES registry on June 12, 2022.

Where is Four Corners Medical PC located?

Four Corners Medical PC is located at 11622 Metropolitan Ave, Richmond Hill, NY 11418. The listed phone number is (347) 466-3605.

What is Four Corners Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Four Corners Medical PC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.