Queens Medical Services Pllc | |
3304 93rd St Suite 1w Jackson Heights NY 11372-1941 | |
(718) 335-4747 | |
Not Available |
Full Name | Queens Medical Services Pllc |
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Speciality | Internal Medicine |
Location | 3304 93rd St, Jackson Heights, New York |
Authorized Official Name and Position | Ajay K Lodha (MANAGER) |
Authorized Official Contact | 7183354747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Queens Medical Services Pllc 3304 93rd St Suite 1w Jackson Heights NY 11372-1941 Ph: () - | Queens Medical Services Pllc 3304 93rd St Suite 1w Jackson Heights NY 11372-1941 Ph: (718) 335-4747 |
NPI Number | 1487745816 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 03/13/2014 |
Medicare PECOS PAC ID | 8820993488 |
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Medicare Enrollment ID | O20031205000377 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487745816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Smita Lodha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356434310 PECOS PAC ID: 8729985890 Enrollment ID: I20031217000073 |
Provider Name | Marie E Cahill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073873717 PECOS PAC ID: 7517113830 Enrollment ID: I20120801000871 |
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