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Organization
QUEENS MIDLAND MEDICAL PC
Active
Organization
QUEENS MIDLAND MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUCHETA D MAHAJAN MD (DIRECTOR)
(718) 523-2177
Entity
Organization
Contact information
Practice address
8675 MIDLAND PKWY, JAMAICA, NY 11432-3058
(718) 523-2177
Mailing address
38 LAKE DR, NEW HYDE PARK, NY 11040-1123
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60100118
NY
207L00000X
Anesthesiology Physician
60128659
NY
207L00000X
Anesthesiology Physician
60136232
NY
207L00000X
Anesthesiology Physician
60153553
NY
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
08/01/2013
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