| Queenswest Medical, P.c. | |
|
4301 Broadway Astoria NY 11103-2359 | |
| (718) 274-4200 | |
| (718) 204-4933 |
| Full Name | Queenswest Medical, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4301 Broadway, Astoria, New York |
| Authorized Official Name and Position | Minzalia Zoubtsova (PRESIDENT) |
| Authorized Official Contact | 7182744200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queenswest Medical, P.c. 4301 Broadway Astoria NY 11103-2359 Ph: (718) 274-4200 | Queenswest Medical, P.c. 4301 Broadway Astoria NY 11103-2359 Ph: (718) 274-4200 |
| NPI Number | 1740447119 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Medicare PECOS PAC ID | 8325114960 |
|---|---|
| Medicare Enrollment ID | O20080905000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740447119 | NPI | - | NPPES |
| 02784343 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 241143 (New York) | Primary |
| Provider Name | Minzalia Zoubtsova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588677504 PECOS PAC ID: 4981608882 Enrollment ID: I20060907000448 |
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