Organization
NYHMCQ-EMERGENCY PRACTICE PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLIE SCHIFF (DIRECTOR OF BILLING)
(718) 670-1651
Entity
Organization
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1426
(516) 437-4167
Mailing address
PO BOX 27842, NEW YORK, NY 10087-7842
(718) 670-1651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825838
—
NY
Enumeration date
07/28/2006
Last updated
09/11/2025
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