Long Island Queens Medical, Pllc

NPI #1902203904 in Howard Beach, New York

Provider Information

NPI Number: 1902203904
Entity Type: Organization
Organization Name: Long Island Queens Medical, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 19, 2014
Last Updated: Nov 19, 2014

Practice Location

Address: 15817 97TH ST
City: Howard Beach
State: New York
ZIP Code: 11414-3228
Phone: (718) 845-5252

Authorized Official

Name: DR. MINAL SHAH
Title: MEDICAL DIRECTOR
Phone: (516) 477-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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