Healthcare Provider Details

I. General information

NPI: 1447283452
Provider Name (Legal Business Name): NYHMCQ SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18219 HORACE HARDING EXPY
FRESH MEADOWS NY
11365-2242
US

IV. Provider business mailing address

PO BOX 27842
NEW YORK NY
10087-7842
US

V. Phone/Fax

Practice location:
  • Phone: 718-670-2672
  • Fax: 516-437-4167
Mailing address:
  • Phone: 718-670-1651
  • Fax: 516-437-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MILLIE SCHIFF
Title or Position: DIRECTOR, PHYSICIAN BILLING
Credential:
Phone: 718-661-8711