Queens Wound & Medical Care PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

QUEENS WOUND & MEDICAL CARE PC

Practice address

6535 Queens Blvd
Woodside, NY 11377-5769

Phone

(718) 426-4562

Fax

(718) 426-4560

NPI assigned

Aug 14, 2013

Last updated

Oct 19, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erie Agustin, MD

Title

Owner

Phone

(718) 426-4562

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1144653072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775769",
            "telephone_number": "718-426-4562",
            "fax_number": "718-426-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775769",
            "telephone_number": "718-426-4562",
            "fax_number": "718-426-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS WOUND & MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "ERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-426-4562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196473",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Boulevard Extended Care Facility Corp
• Queens Boulevard Extended Care Facility Dialysis Center LLC
• Queens Boulevard Extended Care Facility Management LLC
• Queens County Podiatry PC
• Queens Medical South PC
• Hepshiba Rita S Quijote, PT
• Octavio Quijote Jr., PT
• Deirdre Anne Quinlan, CCC-SLP
• Arlene Quino
• Nathalie Quinonez

• Multi-Specialty Clinic/Center in Woodside, NY
• Providers in Woodside, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.