Qlimg Lake Success/new Hyde Park Med. Office

NPI #1720178486 in Garden City, New York

Provider Information

NPI Number
1720178486
Entity Type
Organization
Organization Name
Qlimg Lake Success/new Hyde Park Med. Office
Primary Specialty
Internal Medicine
Enumeration Date
Oct 13, 2006
Last Updated
Oct 22, 2010

Practice Location

Address
1000 ZECKENDORF BLVD
ZIP Code
11530-2133
Phone
(516) 355-5800

Authorized Official

Name
MARLENA SIMPSON, CPMSM
Title
DIRECTOR OF CREDENTIALING
Phone
(516) 542-6880

Specialties & Taxonomy Codes

Specialty
Family Medicine
Obstetrics & Gynecology
Pediatrics
Pediatrics - Pediatric Allergy/ImmunologyPediatric Allergy/Immunology
Pediatrics - Pediatric EndocrinologyPediatric Endocrinology
Internal Medicine

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