Queens Medical Pain Mgmt PC

NPI #1134202013 in Glendale, New York

Provider Information

NPI Number: 1134202013
Entity Type: Organization
Organization Name: Queens Medical Pain Mgmt PC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Oct 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8340 WOODHAVEN BOULEVARD
City: Glendale
State: New York
ZIP Code: 11385
Phone: (718) 441-0101

Authorized Official

Name: SUSAN CAPPADONA
Title: OFFICE MANAGER
Phone: (718) 849-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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