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Qlimg Cambria Heights Med. Office

Internal Medicine in Garden City, NY. Organization (NPI-2).

NPI number1104916865
StatusActive
Last updated in NPPESOct 22, 2010

Details

NPI
1104916865
Entity type
Organization (NPI-2)
Legal business name
Qlimg Cambria Heights Med. Office
Organization subpart
No
Enumeration date
Oct 13, 2006
Last updated
Oct 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207K00000X Allergy & Immunology––
207Q00000X Family Medicine––
207RH0003X Internal Medicine, Hematology & Oncology––
207RP1001X Internal Medicine, Pulmonary Disease––
207RR0500X Internal Medicine, Rheumatology––
207V00000X Obstetrics & Gynecology––
207W00000X Ophthalmology––
207X00000X Orthopaedic Surgery––
208000000X Pediatrics––
2080P0201X Pediatrics, Pediatric Allergy/Immunology––
2080P0205X Pediatrics, Pediatric Endocrinology––
208600000X Surgery––
208800000X Urology––
213E00000X Podiatrist––

Practice location

1000 Zeckendorf Blvd
Garden City, NY 11530-2133

Phone 516-542-6880 · Fax 516-542-5556

Mailing address

20620 Linden Blvd
Cambria Heights, NY 11411-1524

Phone 718-479-6600 · Fax 718-217-3546

Authorized official

Marlena Simpson
Director Of Credentialing
5165426880

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