Queen City Internal Medicine of W.n.y.p.c.

NPI #1508053208 in Kenmore, New York

Provider Information

NPI Number: 1508053208
Entity Type: Organization
Organization Name: Queen City Internal Medicine of W.n.y.p.c.
Primary Specialty: Internal Medicine
Enumeration Date: Sep 27, 2007
Last Updated: May 20, 2008

Practice Location

Address: 2950 ELMWOOD AVE
City: Kenmore
State: New York
ZIP Code: 14217-1304
Phone: (716) 447-6100

Authorized Official

Name: HANAW A ADHAM, M.D,
Title: OWNER
Phone: (716) 625-8876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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