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Organization
QUEENS HEMATOLOGY ONCOLOGY PC
Active
Organization
QUEENS HEMATOLOGY ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARAXI GEVORGYAN (MANAGER)
(718) 830-6333
Entity
Organization
Contact information
Practice address
10850 62ND DR, SUITE LA, FOREST HILLS, NY 11375-1261
(718) 830-6333
(718) 830-6355
Mailing address
10850 62ND DR, SUITE LA, FOREST HILLS, NY 11375-1261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
167703
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01844944
—
NY
Enumeration date
01/09/2008
Last updated
01/09/2008
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