Organization
QUEENS WOUND & MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIE AGUSTIN MD (OWNER)
(718) 426-4562
Entity
Organization
Contact information
Practice address
6535 QUEENS BLVD, WOODSIDE, NY 11377-5769
(718) 426-4562
(718) 426-4560
Mailing address
6535 QUEENS BLVD, WOODSIDE, NY 11377-5769
(718) 426-4562
(718) 426-4560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
196473
NY
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
10/19/2018
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