# KINGS COUNTY PHYSICIAN SERVICES, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437808219
- **Authorized official:** DANIEL LEVIHAYM (CHAIRMAN OF BOARD)
- **Authorized official phone:** (516) 362-6835

## Contact information

- **Practice address:** 18606 UNION TPKE, FRESH MEADOWS, NY 11366-1734
- **Practice address phone:** (516) 362-6835
- **Practice address fax:** (718) 790-4833
- **Mailing address:** 18606 UNION TPKE, FRESH MEADOWS, NY 11366-1734
- **Mailing address phone:** (516) 362-6835
- **Mailing address fax:** (718) 790-4833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 03/21/2022
- **Last updated:** 10/20/2022