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Organization
QUEENS MULTICARE PSYCHIATRIC SERVICES, PC
Active
Organization
QUEENS MULTICARE PSYCHIATRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROOSEVELT CLERISME M.D. (MEDICAL DIRECTOR)
(718) 217-6279
Entity
Organization
Contact information
Practice address
20922 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1715
(718) 217-6279
(718) 217-6279
Mailing address
20922 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1715
(718) 217-6279
(718) 217-6279
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
154315
NY
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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