| Mary Immaculate Hospital | |
|
15211 89th Ave Jamaica NY 11432-3730 | |
| (718) 558-2000 | |
| (212) 356-4434 |
| Full Name | Mary Immaculate Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 15211 89th Ave, Jamaica, New York |
| Authorized Official Name and Position | Dollyann L Yorke (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 2123564419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Immaculate Hospital 450 W 33rd St New York NY 10001-2603 Ph: (212) 356-4419 | Mary Immaculate Hospital 15211 89th Ave Jamaica NY 11432-3730 Ph: (718) 558-2000 |
| NPI Number | 1598814147 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598814147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7003008H (New York) | Primary |
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