# JFK ADVANCED MEDICAL PC

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

## Provider details

- **NPI number:** 1871804062
- **Authorized official:** DAVID ROSENTHAL (MANAGER)
- **Authorized official phone:** (718) 656-9500

## Contact information

- **Practice address:** JFK AIRPORT BUILDING 75, SUITE 247/249, JAMAICA, NY 11430
- **Practice address phone:** (718) 656-9500
- **Practice address fax:** (718) 656-9503
- **Mailing address:** JFK AIRPORT BUILDING 75, SUITE 247/249, JAMAICA, NY 11430
- **Mailing address phone:** (718) 656-9500
- **Mailing address fax:** (718) 656-9503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 174494-1 | NY | — |
| 261QX0100X | Occupational Medicine Clinic/Center | 212722 | NY | Yes |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 06/23/2010