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Organization
JFK ADVANCED MEDICAL PC
Active
Organization
JFK ADVANCED MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROSENTHAL (MANAGER)
(718) 656-9500
Entity
Organization
Contact information
Practice address
JFK AIRPORT BUILDING 75, SUITE 247/249, JAMAICA, NY 11430
(718) 656-9500
(718) 656-9503
Mailing address
JFK AIRPORT BUILDING 75, SUITE 247/249, JAMAICA, NY 11430
(718) 656-9500
(718) 656-9503
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
174494-1
NY
261QX0100X
Occupational Medicine Clinic/Center
Primary
212722
NY
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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