Organization
EAST COAST MEDICAL ASSOCIATE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZEEM KHAN M.D. (PRESIDENT)
(718) 425-8460
Entity
Organization
Contact information
Practice address
11420 QUEENS BLVD, FOREST HILLS, NY 11375-7056
(718) 459-8460
(718) 459-8464
Mailing address
11420 QUEENS BLVD, FOREST HILLS, NY 11375-7056
(718) 459-8460
(718) 459-8464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
153553
NY
Other
Enumeration date
08/17/2007
Last updated
01/06/2010
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