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Organization

QUEENS PEDIATRICNEONATAL CARE ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLEMENS A MANDEL (PRESIDENT)
(718) 849-5012
Entity
Organization

Contact information

Practice address
8375 WOODHAVEN BLVD, WOODHAVEN, NY 11421-1535
(718) 849-5012
(718) 805-2422
Mailing address
8375 WOODHAVEN BLVD, WOODHAVEN, NY 11421-1535
(718) 849-5012
(718) 805-2422

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
920327000143
NY

Other

Enumeration date
10/17/2006
Last updated
08/22/2020
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