Organization
JAMAICA FAMILY PRACTICE & OSTEOPATHIC MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE RENAUD DUGUE (OWNER)
(718) 526-9491
Entity
Organization
Contact information
Practice address
9050 PARSONS BLVD, SUITE 211, JAMAICA, NY 11432-6052
(718) 526-9491
(718) 725-0009
Mailing address
9050 PARSONS BLVD, SUITE 211, JAMAICA, NY 11432-6052
(718) 526-9491
(718) 725-0009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
234196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02619556
—
NY
Enumeration date
12/22/2008
Last updated
10/11/2018
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