Organization
LONG ISLAND COLLEGE HOSP
Active
Organization
LONG ISLAND COLLEGE HOSP
Active
Other names
Long Island College Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELPIDIO JIMENEZ MD (CHAIRMAN DEPT OF PATHOLOGY)
(718) 780-1005
Entity
Organization
Contact information
Practice address
339 HICKS STREET, BROOKLYN, NY 11201-5514
(718) 780-1727
(718) 780-2740
Mailing address
1900 HEMPSTEAD TURNPIKE, SUITE 500, EAST MEADOW, NY 11554
(516) 542-1090
(516) 794-8165
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
04/14/2006
Last updated
11/27/2007
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