Queens Medical South Pc

NPI 1881965804 - Family Medicine - 207Q00000X

NPI Details
NPI 1881965804
Enumeration Date 01/23/2012
Last Updated 01/23/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SUNG SUNG
Position PRESIDENT
Phone (646) 397-0005
Fax (888) 388-5171
Practice Location
3939 63RD ST
WOODSIDE NY, 11377-3648, US
Phone (646) 397-0005
Fax (888) 388-5171
Business Location
3939 63RD ST
WOODSIDE NY, 11377-3648, US
Phone (646) 397-0005
Fax (888) 388-5171
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 105860
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According to our database, Queens Medical South Pc NPI is 1881965804, taxonomy code is 207Q00000X and license number is 105860, license state is located at New York. Queens Medical South Pc physically located at 3939 63rd St, Woodside NY, 11377-3648. NPI Number 1033115704 has the healthcare provider type.

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1881965804 NPI number is provided on an as is basis without warranty of any kind. 1881965804 is maintained by the National Plan & Provider Enumeration System. The contents of Queens Medical South Pc are for informational purposes only.