Family Medicine
112 GVR MEDICAL, PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1649315771 · enumerated 2007-02-20 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: IDA TETRO md, owner · (718) 263-0200
Addresses and phones
- Mailing address 6960 108TH ST, SUITE 108, FOREST HILLS, NY, 11375-4323 (718) 263-0200 Fax (718) 263-0205 Google Maps Apple Maps OpenStreetMap
- Practice location 6960 108TH ST, SUITE 108, FOREST HILLS, NY, 11375-4323 (718) 263-0200 Fax (718) 263-0205 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 220405 NY
In this directory
Locations and evidence
-
Practice location
FOREST HILLS, NY, 113754323
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.