# JAMAICA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jamaica Hospital Emergency Department - Radiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477505220
- **Authorized official:** MR. MOUNIR F DOSS CFO (EXECUTIVE VP & CFO)
- **Authorized official phone:** (718) 240-5773

## Contact information

- **Practice address:** 8900 VAN WYCK EXPWY, JAMAICA, NY 11418-2897
- **Practice address phone:** (718) 206-8918
- **Practice address fax:** (631) 454-4163
- **Mailing address:** 80 MARCUS DR, PROVIDER ENROLLMENT DEPT., MELVILLE, NY 11747
- **Mailing address phone:** (631) 391-7797
- **Mailing address fax:** (631) 454-4163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 04/10/2009