| Queens Rego Medical Pc | |
|
9520 63rd Rd Ste H Rego Park NY 11374-1145 | |
| (646) 301-2578 | |
| (866) 310-5525 |
| Full Name | Queens Rego Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9520 63rd Rd Ste H, Rego Park, New York |
| Authorized Official Name and Position | Edward Shalts (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6463012578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Rego Medical Pc Po Box 520390 Flushing NY 11355 Ph: (347) 730-4606 | Queens Rego Medical Pc 9520 63rd Rd Ste H Rego Park NY 11374-1145 Ph: (646) 301-2578 |
| NPI Number | 1962914721 |
|---|---|
| Provider Enumeration Date | 11/01/2017 |
| Last Update Date | 11/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962914721 | NPI | - | NPPES |
| 01807432 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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