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

Premium Medical of New York PC

Organization Legal Medicine · NPI 1386719557

Premium Medical of New York PC is a Legal Medicine in Flushing, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

147-09 Elm Ave
Flushing, NY 11355
Phone: (718) 463-2630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 1937884 (NY)

Record details

NPI number1386719557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Georgiou — Sole Proprieter · (718) 463-2630
NPI enumeratedNovember 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address147-09 Elm Ave, Flushing, NY 11355

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