Organization
JAMAICA HOSPITAL
Active
Other names
Jamaica Hospital Emergency Department - Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOUNIR F DOSS CFO (EXECUTIVE VP & CFO)
(718) 240-5773
Entity
Organization
Contact information
Practice address
8900 VAN WYCK EXPWY, JAMAICA, NY 11418-2897
(718) 206-8918
(631) 454-4163
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT DEPT., MELVILLE, NY 11747
(631) 391-7797
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01616320
—
NY
Enumeration date
05/17/2006
Last updated
04/10/2009
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