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Organization

KEW GARDENS MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARRY SLOAN M.D (PRESIDENT)
(347) 561-3120
Entity
Organization

Contact information

Practice address
8027 135TH ST, JAMAICA, NY 11435-1029
(347) 561-3120
(347) 561-3142
Mailing address
8027 135TH ST, JAMAICA, NY 11435-1029
(347) 561-3120
(347) 561-3142

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
177709
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204C00000X
TAXONOMY
NY
01
BS08979210
BC/BS ID
NY
Enumeration date
03/01/2013
Last updated
03/01/2013
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