| Queens Medical South Pc | |
|
3939 63rd St Woodside NY 11377-3648 | |
| (646) 397-0005 | |
| (888) 388-5171 |
| Full Name | Queens Medical South Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3939 63rd St, Woodside, New York |
| Authorized Official Name and Position | Sung Kim (PRESIDENT) |
| Authorized Official Contact | 6463970005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Medical South Pc 3939 63rd St Woodside NY 11377-3648 Ph: (646) 397-0005 | Queens Medical South Pc 3939 63rd St Woodside NY 11377-3648 Ph: (646) 397-0005 |
| NPI Number | 1881965804 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 01/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881965804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 105860 (New York) | Primary |
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