# COLON AND RECTAL SURGERY OF QUEENS PLLC

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

## Provider details

- **NPI number:** 1164217006
- **Authorized official:** ARTHUR YUSHUVA MD (MANAGING MEMBER / PHYSICIAN)
- **Authorized official phone:** (718) 475-2017

## Contact information

- **Practice address:** 6344 SAUNDERS ST, REGO PARK, NY 11374-2039
- **Practice address phone:** (347) 239-8882
- **Mailing address:** 6344 SAUNDERS ST, REGO PARK, NY 11374-2039
- **Mailing address phone:** (718) 475-2017
- **Mailing address fax:** (718) 475-2046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2025
- **Last updated:** 12/19/2025
