Organization
NYC HHC ELMHURST HOSPITAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL ROCHA (CEO)
(718) 334-1638
Entity
Organization
Contact information
Practice address
7901 BROADWAY RM BA-1A, ELMHURST, NY 11373-1329
(718) 334-1728
Mailing address
5906 146TH ST, FLUSHING, NY 11355-5328
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86080771
NY
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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