Organization
QUEENS VILLAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH KUCHARNIK (PROJECT MANAGER)
(631) 918-2233
Entity
Organization
Contact information
Practice address
9623 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-1327
(718) 776-8787
(718) 776-6101
Mailing address
9623 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-1327
(718) 776-8787
(718) 776-6101
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B00031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02867009
—
NY
Enumeration date
05/28/2007
Last updated
03/25/2009
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