Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Queens Atlantic Medical, PLLC

Organization Dermatology Physician · NPI 1205789393

Queens Atlantic Medical, PLLC is a Dermatology Physician in Forest Hills, New York. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10919 72nd Rd
Forest Hills, NY 11375-7826
Phone: (718) 268-0418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19812 Hillside Ave, Hollis, NY 11423-2161 — (718) 268-0418

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X
Dermatology Physician Taxonomy 207N00000X
Gastroenterology Physician Taxonomy 207RG0100X
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X

Record details

NPI number1205789393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azeem Khan — Owner · (718) 268-0418
NPI enumeratedFebruary 18, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address10919 72nd Rd, Forest Hills, NY 11375-7826

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