Organization
NYEEQASC,LLC
Active
Other names
North Queens Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH COMERFORD RN (V.P. OF OPERATIONS)
(781) 812-4665
Entity
Organization
Contact information
Practice address
4564 FRANCIS LEWIS BLVD, SUITE 200, BAYSIDE, NY 11361
(929) 258-7720
(929) 258-7722
Mailing address
4564 FRANCIS LEWIS BLVD, SUITE 200, BAYSIDE, NY 11361
(929) 258-7720
(929) 258-7722
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9784
STATE OPERATING LICENSE
NY
Enumeration date
03/07/2014
Last updated
06/03/2015
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