Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON D. LIPSCOMB 8/2008 (FAMILY NURSE PRACTITIONER)
(718) 720-7498
Entity
Organization
Contact information
Practice address
555 HENDERSON AVE, STATEN ISLAND, NY 10310-1532
(771) 872-0749
Mailing address
555 HENDERSON AVE, STATEN ISLAND, NY 10310-1532
(771) 872-0749
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
455721-1
NY
282N00000X
General Acute Care Hospital
Primary
F334700-1
NY
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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