Organization
NEW YORK HOSPITAL QUEENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICARMEN PEREZ (PHYSICIAN ASSISTANT)
(718) 575-2716
Entity
Organization
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1517
Mailing address
10850 71ST AVE APT 2G, FOREST HILLS, NY 11375-4524
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
78331
NY
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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