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Organization
SLB MEDICAL ASSOCIATES
Active
Organization
SLB MEDICAL ASSOCIATES
Active
Other names
Queens Village Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO SAINT-LAURENT M.D. (VICE PRESIDENT)
(718) 507-5656
Entity
Organization
Contact information
Practice address
9703 SPRINGFIELD BLVD, 1ST FLOOR, QUEENS VILLAGE, NY 11429-1328
(718) 465-7200
(718) 465-0407
Mailing address
3765 104TH ST, 1ST FLOOR, CORONA, NY 11368-1947
(718) 507-5656
(718) 507-0884
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155418
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00782949
—
NY
Enumeration date
02/09/2007
Last updated
06/15/2009
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