Organization
QUEENS ARTHROSCOPY & SPORTS MEDICINE
Active
Organization
QUEENS ARTHROSCOPY & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAXMIDHAR DIWAN MD (OWNER)
(718) 271-7700
Entity
Organization
Contact information
Practice address
6254 97TH PL, REGO PARK, NY 11374-1346
(718) 271-7700
(718) 271-4490
Mailing address
62 54 97TH PLACE, REGO PARK, NY 11374
(718) 271-7700
(718) 271-4490
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
153779
NY
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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