| 214-18 Hillside Ave | |
|
21418 Hillside Ave Queens Village NY 11427-1808 | |
| (646) 331-7345 | |
| Not Available |
| Full Name | 214-18 Hillside Ave |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 21418 Hillside Ave, Queens Village, New York |
| Authorized Official Name and Position | Gracemon Kuriakose (CEO) |
| Authorized Official Contact | 6463317345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 214-18 Hillside Ave 21418 Hillside Ave Queens Village NY 11427-1808 Ph: (646) 331-7345 | 214-18 Hillside Ave 21418 Hillside Ave Queens Village NY 11427-1808 Ph: (646) 331-7345 |
| NPI Number | 1063858991 |
|---|---|
| Provider Enumeration Date | 05/19/2013 |
| Last Update Date | 05/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063858991 | NPI | - | NPPES |
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