Provider Demographics
NPI:1538973326
Name:QUEENS ANESTHESIOLOGIST PLLC
Entity type:Organization
Organization Name:QUEENS ANESTHESIOLOGIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HUI
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-733-1836
Mailing Address - Street 1:3636 MAIN ST STE 1S
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6517
Mailing Address - Country:US
Mailing Address - Phone:917-733-1836
Mailing Address - Fax:800-550-4779
Practice Address - Street 1:3636 MAIN ST STE 1S
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6517
Practice Address - Country:US
Practice Address - Phone:917-733-1836
Practice Address - Fax:800-550-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty