MEDICARE: GENERAL MEDICAL SERVICS OF QUEENS, II

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1962447615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL MEDICAL SERVICS OF QUEENS, II

Provider Business Mailing Address
First Line	:	3744 75TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6423
Country	:	US
Telephone Number	:	718-672-6232
Fax Number	:

Provider Business Practice Location Address
First Line	:	3744 75TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6423
Country	:	US
Telephone Number	:	718-672-6232
Fax Number	:

Authorized Official
Title or Position	:	MQANAGER
Name	:	MS. MARISOL APONTE
Credential	:
Telephone Number	:	718-672-6232

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	08/22/2020

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