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

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1578858940

Roosevelt Medical Services P C is a Geriatric Medicine (Internal Medicine) Physician in Woodside, New York. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

6709 Roosevelt Ave 1st Fl
Woodside, NY 11377-2923
Phone: (718) 426-9486
Fax: (718) 426-9302
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Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1578858940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Haro — President · (718) 426-9486
NPI enumeratedJune 14, 2011
Last updated in NPPESMarch 9, 2018
Mailing address6709 Roosevelt Ave, 1st Floor, Woodside, NY 11377-2923

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