# WESTERN QUEENS MEDICAL ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BROADWAY CARDIOPULMONARY PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548491046
- **Legal business name:** BROADWAY CARDIOPULMONARY PC
- **Authorized official:** BHUPENDRA RAMBHAI PATEL MD (PRESIDENT)
- **Authorized official phone:** (718) 899-5900

## Contact information

- **Practice address:** 8201 37TH AVE, JACKSON HEIGHTS, NY 11372-7011
- **Practice address phone:** (718) 335-5800
- **Practice address fax:** (718) 335-9237
- **Mailing address:** 3141 45TH ST, LONG ISLAND CITY, NY 11103-1621
- **Mailing address phone:** (718) 721-1500
- **Mailing address fax:** (718) 777-1623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2009
- **Last updated:** 07/31/2009
