Organization
MJHS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA MCDOUGAL (DIRECTOR OF PRACTICE MANAGEMENT)
(212) 649-5556
Entity
Organization
Contact information
Practice address
6323 7TH AVE, BROOKLYN, NY 11220-4743
(212) 649-5555
Mailing address
6323 7TH AVE, BROOKLYN, NY 11220-4743
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73 081372
LCSW
NY
Enumeration date
03/10/2014
Last updated
03/10/2014
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