Organization
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M CABAN RN (PATIENT CAR MANAGER)
(718) 476-7636
Entity
Organization
Contact information
Practice address
3433 JUNCTION BOULEVARD, JACKSON HEIGHTS, NY 11372-3828
(718) 476-7636
Mailing address
3433 JUNCTION BOULEVARD, JACKSON HEIGHTS, NY 11372-3828
(718) 476-7636
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
494583-1
NY
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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