Organization
HILLSIDE POLYMEDIC DIAGNOSTIC & TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGET CHIME (ADMINISTRATOR)
(718) 264-1111
Entity
Organization
Contact information
Practice address
18730 HILLSIDE AVE, JAMAICA, NY 11432-3216
(718) 264-1111
Mailing address
18730 HILLSIDE AVE, JAMAICA, NY 11432-3216
(718) 264-1111
(718) 264-9125
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02903579
—
NY
Enumeration date
06/15/2007
Last updated
02/15/2023
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