Organization
NY QUEENS OB-GYN
Active
Organization
NY QUEENS OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TANNEN (ADMINISTRATOR)
(631) 751-5724
Entity
Organization
Contact information
Practice address
13336 41ST RD, SUITE 2L, FLUSHING, NY 11355-3666
(718) 321-2700
Mailing address
PO BOX 189, BABYLON, NY 11702-0189
(631) 321-8043
(631) 321-4235
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
09/11/2025
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