Queens Surgical Center Llc | |
3636 Main St Ste 1s Flushing NY 11354-6517 | |
(347) 592-1120 | |
(800) 550-4779 |
Full Name | Queens Surgical Center Llc |
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Speciality | Clinic/Center |
Location | 3636 Main St Ste 1s, Flushing, New York |
Authorized Official Name and Position | Brian S Pun (MANAGING MEMBER) |
Authorized Official Contact | 3475921120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Queens Surgical Center Llc 3636 Main St Ste 1s Flushing NY 11354-6517 Ph: (347) 592-1120 | Queens Surgical Center Llc 3636 Main St Ste 1s Flushing NY 11354-6517 Ph: (347) 592-1120 |
NPI Number | 1083220123 |
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Provider Enumeration Date | 09/22/2020 |
Last Update Date | 02/05/2025 |
Medicare PECOS PAC ID | 2062823800 |
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Medicare Enrollment ID | O20201130000660 |
Identifier | Type | State | Issuer |
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1083220123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Secondary |
261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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