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Organization
QUEENS ATLANTIC MEDICAL, PLLC
Active
Organization
QUEENS ATLANTIC MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZEEM KHAN MD (OWNER)
(718) 268-0418
Entity
Organization
Contact information
Practice address
10919 72ND RD, FOREST HILLS, NY 11375-7826
(718) 268-0418
Mailing address
10919 72ND RD, FOREST HILLS, NY 11375-7826
(718) 268-0418
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
02/23/2026
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