| The Floating Hospital Inc. | |
|
1029 41st Ave Long Island City NY 11101-7346 | |
| (718) 361-6266 | |
| (718) 683-5751 |
| Full Name | The Floating Hospital Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1029 41st Ave, Long Island City, New York |
| Authorized Official Name and Position | Sean T Granahan (PRESIDENT/GENERAL COUNSEL) |
| Authorized Official Contact | 7187842240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Floating Hospital Inc. Po Box 8397 Long Island City NY 11101-8397 Ph: (718) 784-2240 | The Floating Hospital Inc. 1029 41st Ave Long Island City NY 11101-7346 Ph: (718) 361-6266 |
| NPI Number | 1851704530 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 11/10/2022 |
| Medicare PECOS PAC ID | 0547367120 |
|---|---|
| Medicare Enrollment ID | O20171117001498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851704530 | NPI | - | NPPES |
| 00245038 | Medicaid | NY | |
| 06546161 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7002289R (New York) | Primary |
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