| Queens Lifestyle Changes | |
|
19503 Hillside Ave Hollis NY 11423-2014 | |
| (917) 923-1712 | |
| (718) 465-3115 |
| Full Name | Queens Lifestyle Changes |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 19503 Hillside Ave, Hollis, New York |
| Authorized Official Name and Position | Rajpaul Singh (OWNER) |
| Authorized Official Contact | 9179231712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Lifestyle Changes 19503 Hillside Ave Hollis NY 11423-2014 Ph: (917) 923-1712 | Queens Lifestyle Changes 19503 Hillside Ave Hollis NY 11423-2014 Ph: (917) 923-1712 |
| NPI Number | 1760018063 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760018063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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