# JSJ MEDICAL GROUP 2

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578881579
- **Authorized official:** DR. MARK JOSEPH M.D. (OWNER)
- **Authorized official phone:** (718) 927-0027

## Contact information

- **Practice address:** 9207 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7941
- **Practice address phone:** (718) 927-0027
- **Practice address fax:** (718) 272-0786
- **Mailing address:** 9207 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7941
- **Mailing address phone:** (718) 927-0027
- **Mailing address fax:** (718) 272-0786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2010
- **Last updated:** 05/14/2010