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Organization

SOUTH QUEENS PEDIATRIC ASSOC, LLP

Active
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Organization

SOUTH QUEENS PEDIATRIC ASSOC, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMIL M ABRAHAM M.D. (MEDICAL DIRECTOR)
(718) 659-7166
Entity
Organization

Contact information

Practice address
13124 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 659-7166
(718) 529-5930
Mailing address
13124 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 659-7166
(718) 529-5930

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—

Other

Enumeration date
09/28/2006
Last updated
08/22/2020
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