Organization
NEW YORK HOSPITAL QUEENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE MANGOME PA (PHYSICIAN ASSISTANT)
(718) 670-1517
Entity
Organization
Contact information
Practice address
56-45 MAIN STREET, OBGYN DEPT., FLUSHING, NY 11335
(718) 670-1517
(718) 539-1669
Mailing address
9 COLLINWOOD DR, BREWSTER, NY 10509-5957
(845) 259-3717
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
04055-1
NY
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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