Organization
QUEENSLONGISLANDMEDICALGPPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON ALETHEA FOSTER M.D.,MPH (STAFF PHYSICIAN)
(718) 956-2200
Entity
Organization
Contact information
Practice address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530
(718) 956-2200
Mailing address
87-15 165TH ST., 6L, JAMAICA, NY 11432-3518
(718) 739-3571
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
205340
NY
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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