NPI 1952642621

Lotus Gardens LLC

Organisation Point of Service Flushing, NY

Practice location

Address: 3323 Union St, Flushing, NY 11354-3050
Phone: (718) 503-4353
Mailing address: 11 Middle Neck Rd Suite 202, Great Neck, NY 11021-2312

Authorised official

Name: Ruslan Gladkovitser
Title: Chief Executive Officer
Phone: (718) 503-4353

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in New York →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1952642621
Entity type: Organization
NPI issued: 6 Mar 2013
Record last updated: 7 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.