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QUEENS LIFESTYLE CHANGES NPI 1760018063


NPI Information

NPI: 1760018063
Provider Name: QUEENS LIFESTYLE CHANGES
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
19503 HILLSIDE AVE
HOLLIS, NY
ZIP 11423
Phone: (917) 923-1712
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QUEENS LIFESTYLE CHANGES is a neurology with special qualifications in child neurology psychiatry neurology in Hollis, NY. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. QUEENS LIFESTYLE CHANGES NPI is 1760018063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19503 HILLSIDE AVE
HOLLIS, NY
ZIP 11423-014
Phone: (917) 923-1712
Fax: (718) 465-3115

The provider's authorized official is Rajpaul Singh .
The authorized official title is Owner and has the following contact phone number (917) 923-1712.

The enumeration date for this NPI number is 3/18/2020 and was last updated on 3/18/2020.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

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: 5/5/2024

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