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General NPI Number Information
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NPI Number | 1912431321
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Entity Type | Organization
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Legal Business Name | QUEENS MEDICAL HEALTH WELLNESS PC
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 21318 UNION TPKE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3522
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Country | US
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Telephone | 718-465-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 21318 UNION TPKE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3522
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Country | US
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Telephone | 718-465-3200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. NADIA SHAHBANO AFRIDI
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Credential | MD
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Telephone | 917-860-8307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 238296
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 133980
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 133980
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License Number State | NY
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