Organization
TJH MEDICAL SERVICES, PC
Active
Other names
Jamaica Hospital Ambulatory Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DIMARIA MD (PRESIDENT)
(718) 206-5134
Entity
Organization
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-7001
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7700
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01436520
—
NY
Enumeration date
06/09/2006
Last updated
08/22/2020
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