Organization · NPI-2
Choice Gynecological Services, PC
Obstetrics & Gynecology, Gynecology · Jackson Heights, NY
NPI number1275775595
StatusActive
Last updated in NPPESApr 2, 2009
Details
- NPI
- 1275775595
- Entity type
- Organization (NPI-2)
- Legal business name
- Choice Gynecological Services, PC
- Organization subpart
- No
- Enumeration date
- Apr 1, 2009
- Last updated
- Apr 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 092267 | NY | Yes |
Practice location
8926 Roosevelt Ave2nd Floor
Jackson Heights, NY 11372-7857
Phone 718-205-3400 · Fax 718-205-6100
Mailing address
8926 Roosevelt Ave2nd Floor
Jackson Heights, NY 11372-7857
Phone 718-205-3400 · Fax 718-205-6100
Authorized official
Joel Cooper
Medical Director
7182053400
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