| Queens Hospital | |
|
8268 164th St Jamaica NY 11432-1121 | |
| (718) 883-3557 | |
| Not Available |
| Full Name | Queens Hospital |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8268 164th St, Jamaica, New York |
| Authorized Official Name and Position | Jaise Joseph (SOCIAL WORKER) |
| Authorized Official Contact | 5163209007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Hospital 1796 Grant Ave East Meadow NY 11554-1646 Ph: () - | Queens Hospital 8268 164th St Jamaica NY 11432-1121 Ph: (718) 883-3557 |
| NPI Number | 1366901035 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 03/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366901035 | NPI | - | NPPES |
| 110589550 | Medicaid | NY | |
| 632984033 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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