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1881965804
QUEENS MEDICAL SOUTH PC
WOODSIDE, NY
NPI
1881965804
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Entity Type
Organization
Authorized Contact
SUNG KIM
President
646-397-0005
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 105860)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
QUEENS MEDICAL SOUTH PC
3939 63RD ST
WOODSIDE, NY 11377-3648
Phone number: 646-397-0005
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Mailing Address
QUEENS MEDICAL SOUTH PC
3939 63RD ST
WOODSIDE, NY 11377-3648
Phone number: 646-397-0005
Copy
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