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
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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