Organization
QSCC CORP
Active
Other names
Queens Surgical Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GARRETT (MANAGER)
(718) 939-9200
Entity
Organization
Contact information
Practice address
13620 38TH AVE, SUITE 5I, FLUSHING, NY 11354-4233
(718) 939-9200
(718) 939-7474
Mailing address
13620 38TH AVE, SUITE 5I, FLUSHING, NY 11354-4232
(718) 939-9200
(718) 939-7474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
111401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00563608
—
NY
01
—
0432T1
BLUE CROSS & BLUE SHIELD
NY
01
—
5303587
GHI
NY
01
—
7076480
AETNA PIN
NY
01
—
7286612
CIGNA PIN
NY
Enumeration date
03/23/2006
Last updated
06/11/2008
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