| Queenslongislandmedicalgppc | |
|
1000 Zeckendorf Blvd Garden City NY 11530 | |
| (718) 956-2200 | |
| Not Available |
| Full Name | Queenslongislandmedicalgppc |
|---|---|
| Speciality | Clinic/center |
| Location | 1000 Zeckendorf Blvd, Garden City, New York |
| Authorized Official Name and Position | Sharon Alethea Foster (STAFF PHYSICIAN) |
| Authorized Official Contact | 7189562200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queenslongislandmedicalgppc 87-15 165th St. 6l Jamaica NY 11432-3518 Ph: (718) 739-3571 | Queenslongislandmedicalgppc 1000 Zeckendorf Blvd Garden City NY 11530 Ph: (718) 956-2200 |
| NPI Number | 1902963838 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902963838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 205340 (New York) | Primary |
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