| Queens Star Medical Pllc | |
|
63118 Woodhaven Blvd Rego Park NY 11374-4841 | |
| (718) 416-0303 | |
| (718) 416-0330 |
| Full Name | Queens Star Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 63118 Woodhaven Blvd, Rego Park, New York |
| Authorized Official Name and Position | Eduard Levy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7184160303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Star Medical Pllc 63118 Woodhaven Blvd Rego Park NY 11374-4841 Ph: (718) 416-0303 | Queens Star Medical Pllc 63118 Woodhaven Blvd Rego Park NY 11374-4841 Ph: (718) 416-0303 |
| NPI Number | 1417145582 |
|---|---|
| Provider Enumeration Date | 10/13/2007 |
| Last Update Date | 08/12/2011 |
| Medicare PECOS PAC ID | 2365539996 |
|---|---|
| Medicare Enrollment ID | O20071030000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417145582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 236739 (New York) | Primary |
| Provider Name | Eduard Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316981871 PECOS PAC ID: 1355346438 Enrollment ID: I20060923000002 |
| Provider Name | Asya Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851505747 PECOS PAC ID: 6608925441 Enrollment ID: I20090716000572 |
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