Organization
PENINSULA HOSPITAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEVINE (CEO)
(718) 734-2500
Entity
Organization
Contact information
Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(718) 734-2568
(718) 734-2545
Mailing address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(718) 734-2568
(718) 734-2545
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
7003006H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00097
EMPIRE BLUE CROSS
NY
05
—
00243898
—
NY
Enumeration date
10/24/2006
Last updated
08/22/2020
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