MEDICARE: SERVICIOS MEDICOS HISPANOS QUEENS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1447263892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERVICIOS MEDICOS HISPANOS QUEENS, P.C.

Provider Business Mailing Address
First Line	:	9014 ELMHURST AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7936
Country	:	US
Telephone Number	:	718-899-2733
Fax Number	:	718-779-2864

Provider Business Practice Location Address
First Line	:	9014 ELMHURST AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7936
Country	:	US
Telephone Number	:	718-899-2733
Fax Number	:	718-779-2864

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA M. LAMA
Credential	:	M.D.
Telephone Number	:	718-899-2733

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	06/26/2012

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