Organization
DEPARTEMENT OF HEALTH AND MENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CABAN RN (PATIENT CARE MANAGER)
(718) 476-7123
Entity
Organization
Contact information
Practice address
3433 JUNCTION BLVD, JACKSON HEIGHTS, NY 11372-3828
(718) 476-7636
(718) 476-7131
Mailing address
3433 JUNCTION BLVD, JACKSON HEIGHTS, NY 11372-3828
(718) 476-7636
(718) 476-7131
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
545218-1
NY
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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