1. Home
  2. Directory
  3. New York
  4. Queens Village
  5. Internal Medicine
  6. NPI Profile

TD ADVANCED MEDICAL PC
NPI 1760714349
Internal Medicine in Queens Village, NY

Active since February 05, 2010
11054 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429(718) 740-4984 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Td Advanced Medical Pc NPPES

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

TD ADVANCED MEDICAL PC (NPI 1760714349) is a healthcare organization registered as an internal medicine in Queens Village, New York and active in the NPI registry since February 2010. The organization lists Leslie Theodore, President, as its authorized official.

NPPES Registry Identity

NPI1760714349
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTD ADVANCED MEDICAL PC
Location Address11054 SPRINGFIELD BLVDQueens Village, NY 11429-2521
Mailing Address683 Half Hollow RdDix Hills, NY 11746-6232
Phone(718) 740-4984
Organization SubpartNo
Authorized OfficialLeslie TheodorePresident · (718) 740-4984
Enumeration DateFebruary 5, 2010
✔ NPI 1760714349 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.
11054 SPRINGFIELD BLVD, Queens Village, NY 11429
Open in Google Maps ↗

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

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 Td Advanced Medical PC's NPI number?

The NPI number for Td Advanced Medical PC is 1760714349. It was assigned to this organization in the NPPES registry on February 5, 2010.

Where is Td Advanced Medical PC located?

Td Advanced Medical PC is located at 11054 Springfield Blvd, Queens Village, NY 11429. The listed phone number is (718) 740-4984.

What is Td Advanced 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 Td Advanced Medical PC was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.