Organization
DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDA DABOVIC RN (PHN)
(718) 476-7636
Entity
Organization
Contact information
Practice address
3433 JUNCTION BLVD, JACKSON HEIGHTS, NY 11372-3828
(718) 476-7636
Mailing address
3433 JUNCTION BLVD, JACKSON HEIGHTS, NY 11372-3828
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
496215
NY
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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