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

Premium Medical of Ny, PC

Organization Internal Medicine Physician · NPI 1972869675

Premium Medical of Ny, PC is an Internal Medicine Physician in Flushing, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
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

14709 Elm Ave Ste B1
Flushing, NY 11355-1705
Phone: (718) 445-1223
Fax: (718) 445-1539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 193788 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 193788 (NY)

Record details

NPI number1972869675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Georgiou — President · (718) 445-1223
NPI enumeratedApril 6, 2012
Last updated in NPPESApril 6, 2012
Mailing address14709 Elm Ave, Suite B1, Flushing, NY 11355-1705

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