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Organization
QUEENS RESPIRATORY CARE, INC
Active
Organization
QUEENS RESPIRATORY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE R RAVARRA (RESPIRATORY TECHNICIAN)
(718) 896-4542
Entity
Organization
Contact information
Practice address
7684 STATE ROUTE 417, ADDISON, NY 14801-9507
(607) 359-2807
Mailing address
9825 64TH RD, APT. 7D, REGO PARK, NY 11374-3452
(718) 896-4542
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0867120001
PROVIDER NUMBER
NY
Enumeration date
07/31/2007
Last updated
07/31/2007
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