Organization
JCL MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNETTE ELIZABETH CANO-LANDIVAR MD (MEDICAL DIRECTOR)
(718) 709-4721
Entity
Organization
Contact information
Practice address
10119 JAMAICA AVE, RICHMOND HILL, NY 11418-2008
(718) 709-4721
(718) 709-4733
Mailing address
10119 JAMAICA AVE, RICHMOND HILL, NY 11418-2008
(718) 709-4721
(718) 709-4733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
281921-1
NY
261QP2300X
Primary Care Clinic/Center
Primary
281921-1
NY
Other
Enumeration date
08/22/2017
Last updated
04/29/2026
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