Organization · NPI-2
Gs Medical Practice PLLC
Anesthesiology · Fresh Meadows, NY
NPI number1336633239
StatusActive
Last updated in NPPESAug 31, 2022
Details
- NPI
- 1336633239
- Entity type
- Organization (NPI-2)
- Legal business name
- Gs Medical Practice PLLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2018
- Certification date
- Aug 31, 2022
- Last updated
- Aug 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
19303 Union TpkeFresh Meadows, NY 11366-1874
Phone 516-721-4648 · Fax 516-706-6026
Mailing address
957 N 1st StNew Hyde Park, NY 11040-2821
Phone 516-721-4648 · Fax 516-706-6026
Other practice locations
21318 Union Tpke
Oakland Gardens, NY 11364-3522
Oakland Gardens, NY 11364-3522
Phone 516-721-4648 · Fax 516-706-6026
Authorized official
Ghulamullah Shahzad
Authorized Official
5167848331
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