Queens County Podiatry PC
Organization Active NPI Podiatrist · Woodside, NY
NPI 1669187993 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1669187993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- QUEENS COUNTY PODIATRY PC
- Practice address
- 3320 69TH St
Woodside, NY 11377-2240 - Phone
- (347) 701-5494
- NPI assigned
- Jan 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Abidur Rahman
- Title
- DPM/President
- Phone
- (347) 701-5494
Practitioners 2
-
Abidur Rahman, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230217002269 | NY | Part B Supplier - Clinic/Group Practice | 9537531686 |
Receives reassigned benefits from 1 practitioner Practice locations: Jackson Heights, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
3320 69TH St
Woodside, NY 11377-2240
Mailing address
3320 69TH St
Woodside, NY 11377-2240
Other providers in Woodside, NY
- Queens Boulevard Chiropractic P.C.
- Queens Boulevard Extended Care Facility
- Queens Boulevard Extended Care Facility Corp
- Queens Boulevard Extended Care Facility Dialysis Center LLC
- Queens Boulevard Extended Care Facility Management LLC
- Queens Medical South PC
- Queens Wound & Medical Care PC
- Hepshiba Rita S Quijote
- Octavio Quijote Jr.
- Deirdre Anne Quinlan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.