Organization
QUEENS PEDIATRIC SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUTFA KHANAM M.D. (PRESIDENT)
(718) 868-8282
Entity
Organization
Contact information
Practice address
1847 MOTT AVE, FAR ROCKAWAY, NY 11691-4201
(718) 868-8282
(718) 471-2865
Mailing address
1847 MOTT AVE, FAR ROCKAWAY, NY 11691-4201
(718) 868-8282
(718) 471-2865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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