Queens Medical Pain Mgmt Pc

NPI 1134202013 - Pain Medicine - 208VP0000X

NPI Details
NPI 1134202013
Enumeration Date 10/23/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SUSAN SUSAN
Position OFFICE MANAGER
Phone (718) 441-0101
Fax (718) 849-6523
Practice Location
8340 WOODHAVEN BOULEVARD
GLENDALE NY, 11385, US
Phone (718) 441-0101
Fax (718) 849-6523
Business Location
8340 WOODHAVEN BOULEVARD
GLENDALE NY, 11385, US
Phone (718) 441-0101
Fax (718) 849-6523
Toxanomy
Taxonomy Code 208VP0000X
License State
License Number
Remove 1134202013 NPI Number
 

According to our database, Queens Medical Pain Mgmt Pc NPI is 1134202013, taxonomy code is 208VP0000X Queens Medical Pain Mgmt Pc physically located at 8340 Woodhaven Boulevard, Glendale NY, 11385. NPI Number 1033115704 has the healthcare provider type.

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1134202013 NPI number is provided on an as is basis without warranty of any kind. 1134202013 is maintained by the National Plan & Provider Enumeration System. The contents of Queens Medical Pain Mgmt Pc are for informational purposes only.