# QUEENS GENERAL MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871795146
- **Authorized official:** SUJIT BHATTACHARYA MD (PRESIDENT)
- **Authorized official phone:** (718) 641-1212

## Contact information

- **Practice address:** 11203 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1813
- **Practice address phone:** (718) 641-1212
- **Mailing address:** 11203 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1813
- **Mailing address phone:** (718) 641-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008237 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 219436 | NY | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 03/10/2008