Organization
LONG ISLAND COLLEGE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN WACHE THERMOLIVE M.D. (RESIDENT PHYSICIAN)
(718) 780-2000
Entity
Organization
Contact information
Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-2000
Mailing address
94 AMITY ST APT 5A, BROOKLYN, NY 11201-6021
Taxonomy
Speciality
Code
Description
License number
State
282NW0100X
Women's Hospital
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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