Organization
QUEENS MEDICAL PAVILION,LLC
Active
Other names
NY MED
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA VAZQUEZ (MANAGER)
(718) 263-3500
Entity
Organization
Contact information
Practice address
6915 AUSTIN ST, FOREST HILLS, NY 11375-4255
(718) 263-3500
Mailing address
69-15 AUSTIN ST, FOREST HILLS, NY 11375
(718) 263-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
01/15/2026
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