| Queens Surgical Center Llc | |
|
3636 Main St Ste 1s Flushing NY 11354-6517 | |
| (347) 592-1120 | |
| (800) 550-4779 |
| Full Name | Queens Surgical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3636 Main St Ste 1s, Flushing, New York |
| Authorized Official Name and Position | Brian S Pun (MANAGING MEMBER) |
| Authorized Official Contact | 3475921120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Surgical Center Llc 3636 Main St Ste 1s Flushing NY 11354-6517 Ph: (347) 592-1120 | Queens Surgical Center Llc 3636 Main St Ste 1s Flushing NY 11354-6517 Ph: (347) 592-1120 |
| NPI Number | 1083220123 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 02/05/2025 |
| Medicare PECOS PAC ID | 2062823800 |
|---|---|
| Medicare Enrollment ID | O20201130000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083220123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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