Queenslongislandmedicalgppc
NPI #1902963838 in Garden City, New York
Provider Information
- NPI Number
- 1902963838
- Entity Type
- Organization
- Organization Name
- Queenslongislandmedicalgppc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1000 ZECKENDORF BLVD
- City
- Garden City
- State
- New York
- ZIP Code
- 11530
- Phone
- (718) 956-2200
Authorized Official
- Name
- DR. SHARON ALETHEA FOSTER, M.D.,MPH
- Title
- STAFF PHYSICIAN
- Phone
- (718) 956-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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