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Organization
HOLLIS HILLS MEDICAL PC
Active
Organization
HOLLIS HILLS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANA RUIZCARO-CHAVEZ MD (ASSOCIATE DIRECTOR)
(718) 217-2705
Entity
Organization
Contact information
Practice address
21715 PECK AVE, QUEENS VILLAGE, NY 11427-1117
(718) 217-2705
(718) 217-2708
Mailing address
21715 PECK AVE, QUEENS VILLAGE, NY 11427-1117
(718) 217-2705
(718) 217-2708
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
222374
NY
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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