Organization
QUEENS MEDICAL PAIN MGMT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CAPPADONA (OFFICE MANAGER)
(718) 849-8700
Entity
Organization
Contact information
Practice address
8340 WOODHAVEN BOULEVARD, GLENDALE, NY 11385
(718) 441-0101
(718) 849-6523
Mailing address
8340 WOODHAVEN BOULEVARD, GLENDALE, NY 11385
(718) 441-0101
(718) 849-6523
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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