# QUEENS WOUND & MEDICAL CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144653072
- **Authorized official:** ERIE AGUSTIN MD (OWNER)
- **Authorized official phone:** (718) 426-4562

## Contact information

- **Practice address:** 6535 QUEENS BLVD, WOODSIDE, NY 11377-5769
- **Practice address phone:** (718) 426-4562
- **Practice address fax:** (718) 426-4560
- **Mailing address:** 6535 QUEENS BLVD, WOODSIDE, NY 11377-5769
- **Mailing address phone:** (718) 426-4562
- **Mailing address fax:** (718) 426-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 196473 | NY | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2013
- **Last updated:** 10/19/2018