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Organization
QUEENS SURGICAL CENTER LLC
Active
Organization
QUEENS SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN S PUN (MANAGING MEMBER)
(347) 592-1120
Entity
Organization
Contact information
Practice address
3636 MAIN ST STE 1S, FLUSHING, NY 11354-6517
(347) 592-1120
(800) 550-4779
Mailing address
3636 MAIN ST STE 1S, FLUSHING, NY 11354-6517
(347) 592-1120
(800) 550-4779
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/22/2020
Last updated
02/05/2025
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