Provider Demographics
NPI:1699707042
Name:QUEENS DIABETES & ENDOCRINOLOGY, P.C.
Entity type:Organization
Organization Name:QUEENS DIABETES & ENDOCRINOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LORBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-762-3073
Mailing Address - Street 1:5945 161ST ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1414
Mailing Address - Country:US
Mailing Address - Phone:718-762-3111
Mailing Address - Fax:718-353-6315
Practice Address - Street 1:5945 161ST ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-1414
Practice Address - Country:US
Practice Address - Phone:718-762-3111
Practice Address - Fax:718-353-6315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty