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Organization
LONG ISLAND COLLEGE HOSPITAL
Active
Organization
LONG ISLAND COLLEGE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY JOHN MANI MD (CHAIRMAN, ORTHOPEDICS DEPT.)
(718) 780-4705
Entity
Organization
Contact information
Practice address
97 AMITY STREET, BROOKLYN, NY 11201
(718) 780-4705
(718) 780-1396
Mailing address
97 AMITY STREET, BROOKLYN, NY 11201
(718) 780-4705
(718) 780-1396
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
003327-1
NY
363A00000X
Physician Assistant
003327 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003327-1
LICENSE #
NY
Enumeration date
04/10/2007
Last updated
08/06/2008
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