Organization
PEDIATRIC HEALTHCARE OF QUEENS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIOS MARKOUIZOS MD (PRESIDENT OWNER)
(718) 278-9500
Entity
Organization
Contact information
Practice address
27 47 CRESCENT STREET, SUITE 101, ASTORIA, NY 11102
(718) 278-9500
(718) 278-2430
Mailing address
3014 37TH ST, ASTORIA, NY 11103-3809
(718) 278-9500
(718) 278-2430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
170828
—
2080A0000X
Pediatric Adolescent Medicine Physician
170828
—
Other
Enumeration date
01/29/2007
Last updated
02/10/2011
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