| Queensmedicalpc | |
|
3703 82nd St Jackson Heights NY 11372-7031 | |
| (347) 848-1966 | |
| Not Available |
| Full Name | Queensmedicalpc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3703 82nd St, Jackson Heights, New York |
| Authorized Official Name and Position | Alvaro Alfonso Olayo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6073314511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queensmedicalpc 3703 82nd St Jackson Heights NY 11372-7031 Ph: (347) 848-1966 | Queensmedicalpc 3703 82nd St Jackson Heights NY 11372-7031 Ph: (347) 848-1966 |
| NPI Number | 1861855397 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861855397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 240621 (New York) | Primary |
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