Provider Demographics
NPI:1770044208
Name:QUEENS OBSTETRICS & GYNECOLOGY SERVICES PC
Entity Type:Organization
Organization Name:QUEENS OBSTETRICS & GYNECOLOGY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERVIN
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:RIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-644-2030
Mailing Address - Street 1:220 CLINTON RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4715
Mailing Address - Country:US
Mailing Address - Phone:929-424-3337
Mailing Address - Fax:929-424-3347
Practice Address - Street 1:8215 35TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-5233
Practice Address - Country:US
Practice Address - Phone:908-644-2030
Practice Address - Fax:718-253-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty