Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Premium Medical of New York PC

Organization Legal Medicine · NPI 1386719557

Premium Medical of New York PC provides 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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