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1962914721
QUEENS REGO MEDICAL PC
REGO PARK, NY
NPI
1962914721
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Entity Type
Organization
Authorized Contact
EDWARD SHALTS
Medical Director
646-301-2578
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2017-11-01
Last Update Date
2017-11-01
Business Address
QUEENS REGO MEDICAL PC
9520 63RD RD STE H
REGO PARK, NY 11374-1145
Phone number: 646-301-2578
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Mailing Address
QUEENS REGO MEDICAL PC
PO BOX 520390
FLUSHING, NY 11355
Phone number: 347-730-4606
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