Queenslongislandmedicalgppc

NPI 1902963838 - Clinic/Center - 261Q00000X

NPI Details
NPI 1902963838
Enumeration Date 01/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SHARON ALETHEA SHARON
Position STAFF PHYSICIAN
Phone (718) 956-2200
Fax
Practice Location
1000 ZECKENDORF BLVD
GARDEN CITY NY, 11530, US
Phone (718) 956-2200
Fax
Business Location
87-15 165TH ST.
6L
JAMAICA NY, 11432-3518, US
Phone (718) 739-3571
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State New York
License Number 205340
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According to our database, Queenslongislandmedicalgppc NPI is 1902963838, taxonomy code is 261Q00000X and license number is 205340, license state is located at New York. Queenslongislandmedicalgppc physically located at 1000 Zeckendorf Blvd, Garden City NY, 11530. NPI Number 1033115704 has the healthcare provider type.

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1902963838 NPI number is provided on an as is basis without warranty of any kind. 1902963838 is maintained by the National Plan & Provider Enumeration System. The contents of Queenslongislandmedicalgppc are for informational purposes only.