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Organization
QUEENS PROFESSIONAL MEDICAL CARE,P.C.
Active
Organization
QUEENS PROFESSIONAL MEDICAL CARE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NANCY LYNNE MATTHEWS (ADMINISTRATOR)
(516) 599-4475
Entity
Organization
Contact information
Practice address
11110 JAMAICA AVE, RICHMOND HILL, NY 11418-2322
(516) 599-4475
(516) 599-2185
Mailing address
58 BUCKINGHAM PL, LYNBROOK, NY 11563-1835
(516) 599-4475
(516) 599-2185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
193204
NY
Other
Enumeration date
08/30/2006
Last updated
08/17/2007
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