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

Td Advanced Medical PC

Organization Internal Medicine Physician · NPI 1760714349

Td Advanced Medical PC is an Internal Medicine Physician in Queens Village, New York. Registered with an NPI since 2010.

In the registry since
2010
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

11054 Springfield Blvd
Queens Village, NY 11429-2521
Phone: (718) 740-4984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1760714349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Theodore — President · (718) 740-4984
NPI enumeratedFebruary 5, 2010
Last updated in NPPESFebruary 5, 2010
Mailing address683 Half Hollow Rd, Dix Hills, NY 11746-6232

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