SOUTH QUEENS MEDICAL GROUP PLLC - NPI 1053667394 - Pediatrics in South Ozone Park, NY

Q: What is South Queens Medical Group PLLC's NPI number?

The NPI number for South Queens Medical Group PLLC is 1053667394. It was assigned to this organization in the NPPES registry on July 24, 2012.

Q: What is South Queens Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About South Queens Medical Group Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH QUEENS MEDICAL GROUP PLLC (NPI 1053667394) is a healthcare organization registered as a pediatrics in South Ozone Park, New York and active in the NPI registry since July 2012. The organization lists Alfred Abraham, Physician, as its authorized official.

NPPES Registry Identity

NPI1053667394

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSOUTH QUEENS MEDICAL GROUP PLLC

Location Address13124 ROCKAWAY BLVDSouth Ozone Park, NY 11420-2932

Mailing Address13124 Rockaway BlvdSouth Ozone Park, NY 11420-2932 · (718) 659-7166

Phone(718) 659-7166

Organization SubpartNo

Authorized OfficialAlfred AbrahamPhysician · (718) 659-7166

Enumeration DateJuly 24, 2012

Last NPPES UpdateMay 6, 2013

✔ NPI 1053667394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 231106

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 107354 (NY)

Also ListedInternal MedicineTaxonomy 207R00000X · License 118770 (NY)

Also ListedSurgeryTaxonomy 208600000X · License 153485 (NY)

13124 ROCKAWAY BLVD, South Ozone Park, NY 11420

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RC MEDICAL SERVICES PC

Clinic/Center