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

63 St Medical Heathcare PC

Organization General Practice Physician · NPI 1396012324

63 St Medical Heathcare PC is a General Practice Physician in Woodside, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

3939 63rd St # 1A
Woodside, NY 11377-3648
Phone: (718) 205-2992
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 141555 (NY)

Record details

NPI number1396012324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Acaru — President · (718) 205-2992
NPI enumeratedNovember 18, 2011
Last updated in NPPESNovember 18, 2011
Mailing address3939 63rd St # 1a, Woodside, NY 11377-3648

Other providers in Woodside