Organization
QLIMG ROCHDALE VILLAGE OB/GYN OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENA SIMPSON (DIRECTOR, CREDENTIALING)
(516) 542-6880
Entity
Organization
Contact information
Practice address
16995 137TH AVE # A, JAMAICA, NY 11434-4517
(718) 525-5600
(718) 953-2610
Mailing address
16995 137TH AVE # A, JAMAICA, NY 11434-4517
(718) 525-5600
(718) 953-2610
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
09/11/2025
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