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Organization
MEDICAL CARE OF QUEENS BOROUGH PC
Active
Organization
MEDICAL CARE OF QUEENS BOROUGH PC
Active
Other names
Bard Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAN NOOR (MANAGER)
(718) 873-4201
Entity
Organization
Contact information
Practice address
970 BARD AVE FL 1, STATEN ISLAND, NY 10301-3322
(718) 874-9143
Mailing address
970 BARD AVE FL 1, STATEN ISLAND, NY 10301-3322
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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