| |
137-50 Jamaica Avenue Jamaica NY 11435 | |
(718) 298-5100 | |
(718) 298-5128 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 137-50 Jamaica Avenue, Jamaica, New York |
Authorized Official Name and Position | John Chue (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7186571100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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138-02 Queens Boulevard Briarwood NY 11435 Ph: (718) 657-1100 | 137-50 Jamaica Avenue Jamaica NY 11435 Ph: (718) 298-5100 |
NPI Number | 1992193874 |
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Provider Enumeration Date | 12/31/2014 |
Last Update Date | 12/31/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992193874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7003246R (New York) | Primary |
Empire Gate Medical P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8810 Parsons Blvd, Jamaica, NY 11432 Phone: 718-291-8111 Fax: 718-487-9343 | |
Exedus Family Healthcare & Wellness Care Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11410 Merrick Blvd, Jamaica, NY 11434 Phone: 718-233-2972 Fax: 667-771-0892 | |
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 | |