Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOANN RUZOL AMARGA PA (PHYSICIAN ASSISTANT)
(718) 470-7000
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7000
Mailing address
1060 PLANDOME RD, PLANDOME, NY 11030-1033
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
011215
NY
Other
Enumeration date
12/03/2006
Last updated
08/22/2020
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