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BOULEVARD MULTISPECIALTY MEDICAL PC
NPI 1730245366
Clinic/Center - Multi-Specialty in Ozone Park, NY

Active since December 28, 2006
10149 WOOHAVEN BLVD, OZONE PARK, NY 11416(718) 641-4900(718) 641-4905 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boulevard Multispecialty Medical Pc NPPES

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

BOULEVARD MULTISPECIALTY MEDICAL PC (NPI 1730245366) is a healthcare organization registered as a multi-specialty in Ozone Park, New York and active in the NPI registry since December 2006. The organization lists Gordon C Davis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730245366
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBOULEVARD MULTISPECIALTY MEDICAL PC
Location Address10149 WOOHAVEN BLVDOzone Park, NY 11416
Mailing Address10149 Woohaven BlvdOzone Park, NY 11416 · (718) 641-4900 · Fax (718) 641-4905
Phone(718) 641-4900
Fax(718) 641-4905
Organization SubpartNo
Authorized OfficialGordon C DavisMedical Director · (718) 641-4900
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730245366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in NY · 24145
10149 WOOHAVEN BLVD, Ozone Park, NY 11416
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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 Boulevard Multispecialty Medical PC's NPI number?

The NPI number for Boulevard Multispecialty Medical PC is 1730245366. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Boulevard Multispecialty Medical PC located?

Boulevard Multispecialty Medical PC is located at 10149 Woohaven Blvd, Ozone Park, NY 11416. The listed phone number is (718) 641-4900.

What is Boulevard Multispecialty Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Boulevard Multispecialty Medical PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.