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Organization
QUEENS MEDICAL OFFICE, P.C.
Active
Organization
QUEENS MEDICAL OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO ROZO D.O. (OWNER)
(718) 458-1515
Entity
Organization
Contact information
Practice address
4046 74TH ST, ELMHURST, NY 11373-5602
(718) 458-1515
(718) 458-0397
Mailing address
4046 74TH ST, ELMHURST, NY 11373-5602
(718) 458-1515
(718) 458-0397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
149657
NY
207Q00000X
Family Medicine Physician
177471
NY
207Q00000X
Family Medicine Physician
209191
NY
207Q00000X
Family Medicine Physician
261999
NY
207R00000X
Internal Medicine Physician
162464
NY
207R00000X
Internal Medicine Physician
167446
NY
207R00000X
Internal Medicine Physician
Primary
187566
NY
207RP1001X
Pulmonary Disease Physician
187566
NY
363AM0700X
Medical Physician Assistant
008399
NY
363AM0700X
Medical Physician Assistant
013504
NY
Other
Enumeration date
08/07/2006
Last updated
09/24/2012
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