Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

112 Gvr Medical, PC

Organization Family Medicine Physician · NPI 1649315771

112 Gvr Medical, PC is a Family Medicine Physician in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6960 108th St Ste 108
Forest Hills, NY 11375-4323
Phone: (718) 263-0200
Fax: (718) 263-0205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 220405 (NY)

Record details

NPI number1649315771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ida Tetro — Owner · (718) 263-0200
NPI enumeratedFebruary 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6960 108th St, Suite 108, Forest Hills, NY 11375-4323

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