| Long Island Queens Medical, Pllc | |
|
15817 97th St Howard Beach NY 11414-3228 | |
| (718) 845-5252 | |
| Not Available |
| Full Name | Long Island Queens Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15817 97th St, Howard Beach, New York |
| Authorized Official Name and Position | Minal Shah (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5164770008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Queens Medical, Pllc Po Box 947 Syosset NY 11791-0079 Ph: () - | Long Island Queens Medical, Pllc 15817 97th St Howard Beach NY 11414-3228 Ph: (718) 845-5252 |
| NPI Number | 1902203904 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 11/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902203904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 189767 (New York) | Primary |
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