NY QUEENS OB-GYN NPI 1578633822

NPI Information

  • NPI: 1578633822
  • Provider Name: NY QUEENS OB-GYN
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 13336 41ST RD
    SUITE 2L
    FLUSHING, NY
    ZIP 11355
  • Phone: (718) 321-2700

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NPI Details

NY QUEENS OB-GYN is a gynecology obstetrics gynecology in Flushing, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee NY QUEENS OB-GYN NPI is 1578633822. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

13336 41ST RD
SUITE 2L
FLUSHING, NY
ZIP 11355-666
Phone: (718) 321-2700

The provider's authorized official is Martin Tannen .
The authorized official title is Administrator and has the following contact phone number (631) 751-5724.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyYes
2207VX0000XObstetrics & GynecologyObstetricsX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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