Organization
EMPIRE MEDICAL OF ROCKAWAY BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI CHAKOTE MD (DOCTOR)
(718) 634-8080
Entity
Organization
Contact information
Practice address
8820 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-1608
(718) 634-8080
(718) 634-8087
Mailing address
8820 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-1608
(718) 634-8080
(718) 634-8087
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01780574
—
NY
Enumeration date
11/23/2011
Last updated
05/03/2013
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