Basic Information
| Provider Information | |||||||||
| NPI: | 1598965261 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FLUSHING HOSPITAL MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3724 S VILLAGE DR | ||||||||
| Address2: | |||||||||
| City: | AVENEL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070011074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326697021 | ||||||||
| FaxNumber: | 7326697021 | ||||||||
| Practice Location | |||||||||
| Address1: | FLUSHING HOSPITAL MEDICAL CENTER | ||||||||
| Address2: | 45 AVE AT PARSONS BLVD | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186705535 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2007 | ||||||||
| LastUpdateDate: | 07/20/2007 | ||||||||
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| AuthorizedOfficialLastName: | RAPAPORT | ||||||||
| AuthorizedOfficialFirstName: | SUSANA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHAIRMAN,DEPT. OF PEDIATRICS | ||||||||
| AuthorizedOfficialTelephone: | 7186705535 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 284300000X | 237884 | NY | Y | Hospitals | Special Hospital |
No ID Information.