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Organization
NASSAU QUEENS MEDICAL CARE PLLC
Active
Organization
NASSAU QUEENS MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH EISEN MD (OWNER AND EXECUTIVE DIRECTOR)
(347) 307-1449
Entity
Organization
Contact information
Practice address
7535 31ST AVENUE, SUITE 205, EAST ELMHURST, NY 11370
(718) 316-6870
Mailing address
7535 31ST AVE STE 205, EAST ELMHURST, NY 11370-1846
(718) 316-6870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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