Queens Star Medical Pllc

NPI #1417145582 in Rego Park, New York

Provider Information

NPI Number: 1417145582
Entity Type: Organization
Organization Name: Queens Star Medical Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Oct 13, 2007
Last Updated: Aug 12, 2011

Practice Location

Address: 63118 WOODHAVEN BLVD
City: Rego Park
State: New York
ZIP Code: 11374-4841
Phone: (718) 416-0303

Authorized Official

Name: EDUARD LEVY, M.D.
Title: MEDICAL DIRECTOR
Phone: (718) 416-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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