Organization
ST JOHNS EMERGENCY MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJIV PRASAD M.D. (CHAIRMAN EMERGENCY DEPT.)
(718) 869-7223
Entity
Organization
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7641
(718) 869-8507
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7641
(718) 869-8507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
218382
NY
Other
Enumeration date
07/03/2008
Last updated
10/30/2012
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