Organization
PEDIATRIC HEALTHCARE OF QUEENS PC
Active
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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