Organization
NEW YORK HOSPITAL QUEENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WYPYCH PA-C (PHYSICIAN ASSISTANT)
(518) 284-8237
Entity
Organization
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(518) 284-8237
Mailing address
1469 LEXINGTON AVE APT 74, NEW YORK, NY 10128-2532
(518) 284-8237
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
008902
NY
Other
Enumeration date
04/06/2007
Last updated
03/09/2022
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