Queens Medical Pavilion,llc
Clinic/Center, Multi-Specialty in Forest Hills, NY. Organization (NPI-2).
NPI number1124384136
StatusActive
Last updated in NPPESJan 15, 2026
Details
- NPI
- 1124384136
- Entity type
- Organization (NPI-2)
- Legal business name
- Queens Medical Pavilion,llc
- Organization subpart
- No
- Enumeration date
- Apr 3, 2012
- Certification date
- Jan 15, 2026
- Last updated
- Jan 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Ny Med (Doing Business As)
Practice location
6915 Austin StForest Hills, NY 11375-4255
Phone 718-263-3500
Mailing address
69-15 Austin StForest Hills, NY 11375
Phone 718-263-3500
Authorized official
Erica Vazquez
Manager
7182633500
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