Slb Medical Associates

NPI #1750519690 in Corona, New York

Provider Information

NPI Number: 1750519690
Entity Type: Organization
Organization Name: Slb Medical Associates
Primary Specialty: Pediatrics
Enumeration Date: Jun 30, 2009
Last Updated: Jun 30, 2009

Practice Location

Address: 3765 104TH ST
City: Corona
State: New York
ZIP Code: 11368-1947
Phone: (718) 507-5656

Authorized Official

Name: DR. JEAN-ROBERT BOURSIQUOT, MD
Title: MEDICAL DIRECTOR
Phone: (718) 507-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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