Queens Vitreo Retinal Consultants

NPI 1235242553 - Ophthalmology - 207W00000X

NPI Details
NPI 1235242553
Enumeration Date 08/17/2006
Last Updated 03/08/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KIM KIM
Position CREDENTALING MANAGER
Phone (718) 793-6430
Fax (718) 793-6321
Practice Location
9131 QUEENS BLVD
SUITE 209
ELMHURST NY, 11373-5555, US
Phone (718) 793-6430
Fax (718) 793-6321
Business Location
9131 QUEENS BLVD
SUITE 209
ELMHURST NY, 11373-5555, US
Phone (718) 793-6430
Fax (718) 793-6321
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Queens Vitreo Retinal Consultants NPI is 1235242553, taxonomy code is 207W00000X Queens Vitreo Retinal Consultants physically located at 9131 Queens Blvd, Elmhurst NY, 11373-5555. NPI Number 1033115704 has the healthcare provider type.

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1235242553 NPI number is provided on an as is basis without warranty of any kind. 1235242553 is maintained by the National Plan & Provider Enumeration System. The contents of Queens Vitreo Retinal Consultants are for informational purposes only.