Organization
IDEAL PEDIATRIC CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZULFIQAR KHALIQUE MD (PRESIDENT)
(646) 469-9596
Entity
Organization
Contact information
Practice address
3751 75TH ST, JACKSON HEIGHTS, NY 11372-6422
(718) 216-0889
(718) 424-8702
Mailing address
11 BELMONT BLVD, ELMONT, NY 11003-1804
(646) 469-9596
(718) 424-8702
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
261413
NY
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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