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Organization

QUEENS GENERAL MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUJIT BHATTACHARYA MD (PRESIDENT)
(718) 641-1212
Entity
Organization

Contact information

Practice address
11203 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1813
(718) 641-1212
Mailing address
11203 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1813
(718) 641-1212

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X008237
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
219436
NY

Other

Enumeration date
05/31/2007
Last updated
03/10/2008
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