| Mic Women's Health Services - Jamaica | |
|
9004 161st St 5th Floor Jamaica NY 11432-6103 | |
| (718) 523-2123 | |
| (718) 522-5833 |
| Full Name | Mic Women's Health Services - Jamaica |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 9004 161st St, Jamaica, New York |
| Authorized Official Name and Position | Ellen Rautenberg (CHIEF EXCECUTIVE OFFICER) |
| Authorized Official Contact | 6466196401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mic Women's Health Services - Jamaica 220 Church St 5th Floor New York NY 10013-2904 Ph: (646) 619-6400 | Mic Women's Health Services - Jamaica 9004 161st St 5th Floor Jamaica NY 11432-6103 Ph: (718) 523-2123 |
| NPI Number | 1902097660 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902097660 | NPI | - | NPPES |
| 00245538 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 7002296R (New York) | Primary |
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South Merrick Np In Adult Health P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10825 Merrick Blvd, Jamaica, NY 11433 Phone: 718-658-9700 | |
Physician Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8216 164th Pl, 1st Floor, Jamaica, NY 11432 Phone: 646-644-8067 | |
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