Queens Boulevard Extended Care Facility

NPI Provider: 1548253313
Contact Name: Cohen J Steven
Position: Finance Director
Phone: (718) 205-0287

Queens Boulevard Extended Care Facility Information:

Queens Boulevard Extended Care Facility organization have npi 1548253313, taxonomy code is 313M00000X with license number is 7003390N in . This Business address located in 6111 Queens Blvd, Woodside, NY 11377 New York.

Practice Location
Address: 6111 Queens Blvd, Woodside, NY 11377
Phone: (718) 205-0287

Business Location
Address: 6111 Queens Blvd, Woodside, NY 11377
Phone: (718) 205-0287
Fax: (718) 205-1342

Taxonomy

Taxonomy Code: 313M00000X

License Number: 7003390N

License Number of State: NY

Primary Taxonomy Switch: Y

Enumeration Date: 8/26/2005

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