Organization · Type 2 NPI

Nycdohmh Hillside Avenue Health Center

Community Health Clinic/Center · Jamaica, NY

NPI number 1285680389 Active

Practice location

164 21 Hillside Avenue, Nycdohmh Hillside Avenue Health Center
Jamaica, NY 11432-4140

Call (718) 676-2259 Map

Fax (718) 262-8885

Mailing address

PO Box 74, 125 Worth Street Rm 901
New York, NY 10013-4006

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	7002112R5621 (NY)

Community Health Clinic/Center: Definition to come...

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NPI record

NPI: 1285680389
Entity type: Organization (Type 2)
Issued: May 26, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

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New York City Department of Health and Mental Hygiene Hillside Avenue · other name

Authorized official

Mr. Michael James Smook, MPA
Administrative Manager Third Party
(212) 442-8468

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285680389

Nycdohmh Hillside Avenue Health Center's National Provider Identifier is 1285680389, issued on May 26, 2006. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Jamaica, NY. The record was last updated on Aug 22, 2020.