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Organization

JACOBI MEDICAL CENTER ED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOM PERERA MD (PROGRAM DIRECTOR)
(718) 918-5820
Entity
Organization

Contact information

Practice address
1400 PELHAM PKWY S, BUILDING 6 SUITE 1B25, BRONX, NY 10461-1138
(718) 918-5820
Mailing address
1400 PELHAM PKWY S, BUILDING 6 SUITE 1B25, BRONX, NY 10461-1138
(718) 918-5820

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
259374
NY

Other

Enumeration date
07/28/2011
Last updated
07/28/2011
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