Joseph P. Addabbo Family Health Center, Inc. | |
11811 Guy R Brewer Blvd Jamaica NY 11434-2101 | |
(718) 945-7150 | |
(718) 945-2596 |
Full Name | Joseph P. Addabbo Family Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 11811 Guy R Brewer Blvd, Jamaica, New York |
Authorized Official Name and Position | Marjorie J. Hill (CEO) |
Authorized Official Contact | 7189457150 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joseph P. Addabbo Family Health Center, Inc. 6200 Beach Channel Drive Arverne NY 11692 Ph: (718) 945-7150 | Joseph P. Addabbo Family Health Center, Inc. 11811 Guy R Brewer Blvd Jamaica NY 11434-2101 Ph: (718) 945-7150 |
NPI Number | 1750638961 |
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Provider Enumeration Date | 08/07/2012 |
Last Update Date | 02/04/2016 |
Medicare PECOS PAC ID | 0749174654 |
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Medicare Enrollment ID | O20140826001888 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750638961 | NPI | - | NPPES |
00990152 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7003234R (New York) | Primary |
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