Organization
QUEENS WTC HEALTH PROGRAM
Active
Parent organization
NORTH SHORE LONG ISLAND JEWISH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH SHORE LONG ISLAND JEWISH
Authorized official
EDITH SEGOVIA (SOCIAL WORKER)
(718) 267-2420
Entity
Organization
Contact information
Practice address
9777 QUEENS BLVD FL 9, REGO PARK, NY 11374-3335
(718) 267-2420
Mailing address
9777 QUEENS BLVD FL 9, REGO PARK, NY 11374-3335
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
081917
NY
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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