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

Four Corners Medical PC

Organization Internal Medicine Physician · NPI 1356071526

Four Corners Medical PC is an Internal Medicine Physician in Richmond Hill, New York. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11622 Metropolitan Ave
Richmond Hill, NY 11418-1017
Phone: (347) 466-3605
Fax: (347) 317-7895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7907 Metropolitan Ave, Middle Village, NY 11379-2930 — (347) 466-3605

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1356071526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean-Yves Dastain — Owner · (347) 466-3605
NPI enumeratedJune 12, 2022
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address7907 Metropolitan Ave, Middle Village, NY 11379-2930

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