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General NPI Number Information
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NPI Number | 1538973326
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Entity Type | Organization
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Legal Business Name | QUEENS ANESTHESIOLOGIST PLLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3636 MAIN ST STE 1S
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City | FLUSHING
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State | NY
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Zip | 11354-6517
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Country | US
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Telephone | 917-733-1836
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Fax | 800-550-4779
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Provider Business Mailing Address
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Address Line | 3636 MAIN ST STE 1S
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City | FLUSHING
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State | NY
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Zip | 11354-6517
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Country | US
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Telephone | 917-733-1836
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Fax | 800-550-4779
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | HUI WANG
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Credential | MD
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Telephone | 917-733-1836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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