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Organization
JMC/NCB PROFESSIONAL SERVICES
Active
Organization
JMC/NCB PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PATRICK HOGAN (PRACTICE MANAGER)
(516) 338-5300
Entity
Organization
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(516) 338-5300
(516) 333-1075
Mailing address
PO BOX 8124, HICKSVILLE, NY 11802-8124
(516) 338-5300
(516) 333-1075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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